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Leech Lake Band Of Ojibwe
Adolescent and Children Mental Health Clinic/Center in Cass Lake, Minnesota
NPI 1215341094

Leech Lake Band Of Ojibwe is an Adolescent and Children Mental Health Clinic/Center based in Cass Lake, MN and is specialized in Adolescent and Children Mental Health. Leech Lake Band Of Ojibwe practices in Cass Lake, MN. The NPI Number for Leech Lake Band Of Ojibwe is 1215341094 and holds a License No. (Minnesota).

The current practice location address for Leech Lake Band Of Ojibwe is 321 2Nd St, Cass Lake, MN and can be reached out via phone at 218-335-8382 and via fax at 218-335-3580.

Location: 321 2Nd St, Cass Lake, MN, 56633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215341094
Provider Name
Leech Lake Band Of Ojibwe
Credential
Provider Entity Type
Organization
Address
321 2Nd St, Cass Lake, MN, 56633
Phone Number
218-335-8382
Fax Number
218-335-3580
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
321 2Nd St
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-8382
Fax Number
218-335-3580
person
Provider Business Mailing Address Details
Address
321 2Nd St
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-8382
Fax Number
218-335-3580
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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