National Provider Identifier Database

LEECH LAKE BAND OF OJIBWE
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

LEECH LAKE BAND OF OJIBWE
115 SIXTH STREET NORTHWEST
SUITE E
CASS LAKE, MN56633
Phone: 218-335-8308
Fax: 218-335-8307
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for LEECH LAKE BAND OF OJIBWE

NPI Number 1679781116
Legal business name
LBN
LEECH LAKE BAND OF OJIBWE
Authorized official GEORGE GOGGLEYE - (CHAIRMAN)
Entity Organization
Organization subpart No
Enumeration date 05/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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