Organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Active
Organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTE LEE FOX (TRIBAL HEALTH DIRECTOR)
(218) 983-3286
Entity
Organization
Contact information
Practice address
36510 COUNTY RD 21, WHITE EARTH, MN 56591
(218) 983-3285
(218) 983-3729
Mailing address
PO BOX 418, WHITE EARTH, MN 56591
(218) 983-3285
(218) 983-3729
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
MN
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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