White Earth Band of Chippwa Indians

NPI #1467862334 in Mahnomen, Minnesota

Provider Information

NPI Number
1467862334
Entity Type
Organization
Organization Name
White Earth Band of Chippwa Indians
Subpart
Yes (part of a larger organization)
Parent Organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
May 1, 2014
Last Updated
May 1, 2014

Practice Location

Address
2388 STATE HIGHWAY 200
ZIP Code
56557-9370
Phone
(218) 983-3285

Authorized Official

Name
ANGELA MARIE BELLANGER, MSW, LICSW
Title
ACUTE CARE MANAGER
Phone
(218) 983-3285

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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