Full Name | |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 321 2nd St, Cass Lake, Minnesota |
Authorized Official Name and Position | Earl Robinson (HUMAN SERVICES DIRECTOR) |
Authorized Official Contact | 2183358295 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
190 Sailstar Dr Nw Cass Lake MN 56633 Ph: (218) 335-8382 | 321 2nd St Cass Lake MN 56633 Ph: (218) 335-8382 |
NPI Number | 1215341094 |
---|---|
Provider Enumeration Date | 06/19/2014 |
Last Update Date | 01/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215341094 | NPI | - | NPPES |
Department Of Human Services &phs, Ihs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Leech Lake Tribal Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 115 6th St Ne, Cass Lake, MN 56633 Phone: 218-335-4500 Fax: 218-335-4547 |