Leech Lake Women'S Services in Cass Lake - Addiction (substance Use Disorder)
Leech Lake Women'S Services - NPI 1942478300
Leech Lake Women'S Services is a Addiction (substance Use Disorder) in Cass Lake, Minnesota. Leech Lake Women'S Services practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Leech Lake Women'S Services is 1942478300. The last update date is 2008-02-26.
Leech Lake Women'S Services's current location address is 115 6th St Ne, Cass Lake, Minnesota. You can contact this provider via phone number 2183353560 and fax number 2183352482. The mailing address for Leech Lake Women'S Services is 115 6th St Ne, Cass Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Leech Lake Women'S Services |
|---|---|
| Address | 115 6th St Ne, Cass Lake, Minnesota |
| Phone Number | 2183353560 |
| Fax Number | 2183352482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | A & D PROG |
|---|---|
| Authorized Official Name | Mellado Gloria |
| Telephone Number | 2183353567 |
NPI Number Detail
| NPI Number | 1942478300 |
|---|---|
| Provider Enumeration Date | 2008-02-19 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 115 6th St Ne |
|---|---|
| City | Cass Lake |
| State | Minnesota (MN) |
| Post Code | 566333428 |
| Phone Number | 2183353560 |
| Fax Number | 2183352482 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code issued to Leech Lake Women'S Services by the Centers for Medicare & Medicaid Services?
The Leech Lake Women'S Services has been assigned the NPI (National Provider Identifier) 1942478300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Leech Lake Women'S Services located?
The Leech Lake Women'S Services is located at 115 6Th St Ne, Cass Lake, MN 566333428.
What is Leech Lake Women'S Services's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leech Lake Women'S Services is Addiction (substance Use Disorder), and the taxonomy classification code that categorizes this area of expertise is 101Ya0400X.
On what date did the Leech Lake Women'S Services receive the assignment of its 1942478300 from the Centers for Medicare & Medicaid Services?
The Leech Lake Women'S Services was issued its 1942478300 by the Centers for Medicare & Medicaid Services on 2008-02-19.
When was the information pertaining to Leech Lake Women'S Services most recently updated or revised?
The details related to Leech Lake Women'S Services, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-26.