Organization · Type 2 NPI

White Earth Band of Ojibwe

Community/Behavioral Health Agency · Minneapolis, MN

NPI number 1053772046 Active

Practice location

1730 Clifton Pl
Minneapolis, MN 55403-3242

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

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NPI record

NPI: 1053772046
Entity type: Organization (Type 2)
Issued: Mar 17, 2016
Last updated: Mar 17, 2016
Status: Active
Subpart: Yes of White Earth Band of Ojibwe

Other names

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Urban Moms Program · doing business as

Authorized official

Jeri Jasken
Behavioral Health Director
(218) 983-4647

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053772046

White Earth Band of Ojibwe's National Provider Identifier is 1053772046, issued on Mar 17, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 17, 2016.