White Earth Oshki Manidoo New Spirit Center

NPI #1194961276 in Bemidji, Minnesota

Provider Information

NPI Number: 1194961276
Entity Type: Organization
Organization Name: White Earth Oshki Manidoo New Spirit Center
Subpart: Yes (part of a larger organization)
Parent Organization: WHITE EARTH RESERVATION TRIBAL COUNCIL
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Dec 19, 2008
Last Updated: Dec 19, 2008

Practice Location

Address: 1741 15TH ST NW
City: Bemidji
State: Minnesota
ZIP Code: 56601-8755
Phone: (218) 751-6553

Authorized Official

Name: JILL ELIZABETH HEWITT, LMFT
Title: DIRECTOR
Phone: (218) 751-6553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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