White Earth Fasd Program
NPI #1568790012 in White Earth, Minnesota
Provider Information
- NPI Number
- 1568790012
- Entity Type
- Organization
- Organization Name
- White Earth Fasd Program
- Primary Specialty
- Case Management
- Enumeration Date
- Nov 20, 2009
- Last Updated
- Mar 14, 2012
Practice Location
- Address
- 26246 CRANE RD
- City
- White Earth
- State
- Minnesota
- ZIP Code
- 56591-9998
- Phone
- (218) 983-3286
Authorized Official
- Name
- MR. MONTE FOX
- Title
- HEALTH DIRECTOR
- Phone
- (218) 983-3286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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