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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