Mille Lacs Band of Ojibwe Indians

NPI #1285186007 in Brainerd, Minnesota

Provider Information

NPI Number
1285186007
Entity Type
Organization
Organization Name
Mille Lacs Band of Ojibwe Indians
Subpart
Yes (part of a larger organization)
Parent Organization
MILLE LACS BAND OF OJIBWE INDIANS
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Oct 27, 2016
Last Updated
Oct 14, 2021

Practice Location

Address
11600 STATE AVE
ZIP Code
56401
Phone
(320) 532-4163

Authorized Official

Name
NICOLE ANDERSON
Title
HHS COMMISSIONER
Phone
(320) 532-4163

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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