White Earth Band of Ojibwe

NPI #1417316902 in Mahnomen, Minnesota

Provider Information

NPI Number
1417316902
Entity Type
Organization
Organization Name
White Earth Band of Ojibwe
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE EARTH BAND OF OJIBWE
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 12, 2016
Last Updated
Feb 12, 2016

Practice Location

Address
2515 WORKFORCE CENTER ROAD
ZIP Code
56557
Phone
(218) 936-2442

Authorized Official

Name
JERI JASKEN
Title
BEHAVIORAL HEALTH DIRECTOR
Phone
(218) 983-4647

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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