Organization · Type 2 NPI

White Earth Band of Chippwa Indians

Substance Abuse Rehabilitation Facility · Mahnomen, MN

NPI number 1467862334 Active

Practice location

2388 State Highway 200
Mahnomen, MN 56557-9370

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	0013 (MN)

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 individuals with disorders in the abuse of drugs, alcohol, and other substances.

Other substance abuse rehabilitation facility providers in Mahnomen

White Earth Band of ChippewaSubstance Abuse Rehabilitation Facility Mahnomen, MN NPI 1558463877

See all in Mahnomen →

NPI record

NPI: 1467862334
Entity type: Organization (Type 2)
Issued: May 1, 2014
Last updated: May 1, 2014
Status: Active
Subpart: Yes of White Earth Band of Chippewa Indians

Other names

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White Earth Men's Substance Abuse Primary Care · doing business as

Authorized official

Angela Marie Bellanger, MSW, LICSW
Acute Care Manager
(218) 983-3285

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About NPI 1467862334

White Earth Band of Chippwa Indians's National Provider Identifier is 1467862334, issued on May 1, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mahnomen, MN. The record was last updated on May 1, 2014.