Leech Lake Opiate Treatment Program
NPI #1053478164 in Cass Lake, Minnesota
Provider Information
- NPI Number
- 1053478164
- Entity Type
- Organization
- Organization Name
- Leech Lake Opiate Treatment Program
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. EARLENE BUFFALO
- Title
- PROGRAM MANAGER
- Phone
- (218) 335-8304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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