White Earth Band of Chippewa

NPI #1558463877 in Mahnomen, Minnesota

Provider Information

NPI Number
1558463877
Entity Type
Organization
Organization Name
White Earth Band of Chippewa
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Sep 5, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2388 STATE HWY 200
ZIP Code
56557
Phone
(218) 936-5653

Authorized Official

Name
PATRICIA MORAN, LADC
Title
CHEMICAL DEPENDENCY COORDINATOR
Phone
(218) 983-3285

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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Provider Name
White Earth Band of Chippwa Indians

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