Organization · Type 2 NPI

White Earth Oshki Manidoo New Spirit Center

Children's Substance Abuse Rehabilitation Facility · Bemidji, MN

NPI number 1194961276 Active

Practice location

1741 15th St NW
Bemidji, MN 56601-8755

Fax (218) 751-1846

Specialties and licenses

Taxonomy	Code	License
Children's Substance Abuse Rehabilitation Facility Primary	3245S0500X	1052679 (MN)

Children's Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

9 other providers at this address

NPI record

NPI: 1194961276
Entity type: Organization (Type 2)
Issued: Dec 19, 2008
Last updated: Dec 19, 2008
Status: Active
Subpart: Yes of White Earth Reservation Tribal Council

Other names

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Oshki Manidoo Center · doing business as

Authorized official

Jill Elizabeth Hewitt, LMFT
Director
(218) 751-6553

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About NPI 1194961276

White Earth Oshki Manidoo New Spirit Center's National Provider Identifier is 1194961276, issued on Dec 19, 2008. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Bemidji, MN. The record was last updated on Dec 19, 2008.