Organization · Type 2 NPI

White Earth Band of Chippewa

Substance Use Disorder Rehabilitation Clinic/Center · White Earth, MN

NPI number 1447353883 Active

Practice location

35708 Cty Hwy 21
White Earth, MN 56591

Fax (218) 983-3729

Mailing address

PO Box 435
White Earth, MN 56591-0435

Specialties and licenses

TaxonomyCodeLicense
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

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About NPI 1447353883

White Earth Band of Chippewa's National Provider Identifier is 1447353883, issued on Sep 7, 2006. 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 Aug 22, 2020.