White Earth Band of Chippewa Indians

NPI #1013805696 in Ogema, Minnesota

Provider Information

NPI Number
1013805696
Entity Type
Organization
Organization Name
White Earth Band of Chippewa Indians
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Enumeration Date
Jun 24, 2025
Last Updated
Jun 24, 2025

Practice Location

Address
33991 VICTORY WAY DR
City
Ogema
ZIP Code
56569-9537
Phone
(218) 751-6553

Authorized Official

Name
MR. JEREMY SYVERSON, MBA
Title
CHIEF EXECUTIVE OFFICER
Phone
(218) 755-7146

Specialties & Taxonomy Codes

Specialty
Rehabilitation, Substance Use Disorder Unit

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