Organization · Type 2 NPI
White Earth Band of Chippewa Indians
Substance Use Disorder Rehabilitation Clinic/Center · White Earth, MN
NPI number
1003052192
Active
Practice location
36510 County Rd 21
White Earth, MN 56591
Fax (218) 983-3729
Mailing address
PO Box 418
White Earth, MN 56591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
Other substance use disorder rehabilitation clinic/center providers in White Earth
About NPI 1003052192
White Earth Band of Chippewa Indians's National Provider Identifier is 1003052192, issued on Dec 19, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in White Earth, MN. The record was last updated on Dec 19, 2008.