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Leech Lake Opiate Treatment Program
Preferred Provider Organization in Cass Lake, Minnesota
NPI 1578627451

Leech Lake Opiate Treatment Program is a Preferred Provider Organization based in Cass Lake, MN. Leech Lake Opiate Treatment Program practices in Cass Lake, MN. The NPI Number for Leech Lake Opiate Treatment Program is 1578627451 and holds a License No. (Minnesota).

The current practice location address for Leech Lake Opiate Treatment Program is 110 Balsam Ave. Nw, Cass Lake, MN and can be reached out via phone at 218-335-4514 and via fax at 218-335-4580.

Location: 110 Balsam Ave. Nw, Cass Lake, MN, 56633
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578627451
Provider Name
Leech Lake Opiate Treatment Program
Credential
Provider Entity Type
Organization
Address
110 Balsam Ave. Nw, Cass Lake, MN, 56633
Phone Number
218-335-4514
Fax Number
218-335-4580
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Balsam Ave. Nw
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-4514
Fax Number
218-335-4580
person
Provider Business Mailing Address Details
Address
110 Balsam Ave. Nw
City
Cass Lake
State
Minnesota
Zip
56633
Phone Number
218-335-4514
Fax Number
218-335-4580
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
()
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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Similar Doctors in Cass Lake, Minnesota:

institution
Leech Lake Opiate Treatment Program
NPI 1053478164
Preferred Provider Organization
110 Balsam Ave. Nw,
CASS LAKE, MN
56633
218-335-4514
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