Bad River Honoring Our Children

NPI #1144581398 in Ashland, Wisconsin

Provider Information

NPI Number
1144581398
Entity Type
Organization
Organization Name
Bad River Honoring Our Children
Subpart
Yes (part of a larger organization)
Parent Organization
BAD RIVER BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Primary Specialty
Case Management
Enumeration Date
Jun 5, 2012
Last Updated
Jun 5, 2012

Practice Location

Address
53585 NOKOMIS RD
ZIP Code
54806-4272
Phone
(715) 682-7137

Authorized Official

Name
MS. ROBYN MARIE GARCIA
Title
CHS ADMINISTRATOR/CLINIC BILLING
Phone
(715) 682-7137

Specialties & Taxonomy Codes

Specialty
Case Management

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