White Earth Band of Chippewa
NPI #1447353883 in White Earth, Minnesota
Provider Information
- NPI Number
- 1447353883
- Entity Type
- Organization
- Organization Name
- White Earth Band of Chippewa
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 35708 CTY HWY 21
- City
- White Earth
- State
- Minnesota
- ZIP Code
- 56591
- Phone
- (218) 983-3285
Authorized Official
- Name
- MS. PATRICIA MORAN, LADC
- Title
- CHEMICAL DEPENDENCY COORDINATOR
- Phone
- (219) 983-3285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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