Oshki Manidoo Outpatient Program
NPI #1598129041 in Bemidji, Minnesota
Provider Information
- NPI Number
- 1598129041
- Entity Type
- Organization
- Organization Name
- Oshki Manidoo Outpatient Program
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- WHITE EARTH BAND OF CHIPPEWA INDIANS
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Apr 11, 2016
Practice Location
Authorized Official
- Name
- MR. JEREMY SYVERSON, MBA
- Title
- ADMINISTRATOR
- Phone
- (218) 751-6553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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