Leech Lake Outpatient Treatment Program

LBN: Leech Lake Outpatient Treatment Program
Leech Lake Outpatient Treatment Program is an health care organization with primary practice located at 6095 161St Ave Nw , Cass Lake MN 56633-3428. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as the primary health care specialty. Leech Lake Outpatient Treatment Program can be contacted via phone (218) 335-8308, or through Mellado, Gloria via phone (218) 335-3567.

Contact Information

Primary practice address
6095 161St Ave Nw Cass Lake MN 56633-3428
Fax: (218) 335-8307
Website:
Authorized official contact:
Name: Mellado, Gloria

Health care specialties

Profile Details

NPI number 1275701666
LBN Legal business name Leech Lake Outpatient Treatment Program
DBA Doing business as
Authorized official Mellado, Gloria
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 19th, 2008
Last updated Jul 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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