Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEECH LAKE OPIATE TREATMENT PROGRAM
Active OrganizationLEECH LAKE OPIATE TREATMENT PROGRAM is a Preferred Provider Organization organization located in CASS LAKE, Minnesota. NPI 1053478164 is currently active in the NPPES registry. Verify at CMS.
Preferred Provider Organization · CASS LAKE, MN
Registration Details
- NPI Number
- 1053478164
- Provider Type
- Organization
- NPI Issued
- Jan 2, 2007 (19.63690140311 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
110 BALSAM AVE. NWCASS LAKE, MN, 56633Browse MN providers · Browse ZIP 56633
- Phone
- 2183354514
- Fax
- 2183354580
- Primary Specialty
-
Preferred Provider Organization
305R00000X
Other Preferred Provider Organization Organizations in CASS LAKE, MN
| Name | NPI |
|---|---|
| LEECH LAKE OPIATE TREATMENT PROGRAM | 1578627451 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.