Mille Lacs Band of Ojibwe Indians

NPI #1982830493 in Sandstone, Minnesota

Provider Information

NPI Number
1982830493
Entity Type
Organization
Organization Name
Mille Lacs Band of Ojibwe Indians
Subpart
Yes (part of a larger organization)
Parent Organization
MILLE LACS BAND OF OJIBWE INDIANS
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 10, 2009
Last Updated
Jul 21, 2022

Practice Location

Address
45741 GRACE LAKE RD
ZIP Code
55072
Phone
(320) 384-0149

Authorized Official

Name
NICOLE ANDERSON
Title
COMMISSIONER OF HEALTH & HUMAN SERV
Phone
(320) 532-4163

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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