Organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Active
Other names
White Earth Family Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY SYVERSON MBA (CHIEF EXECUTIVE OFFICER)
(218) 755-7146
Entity
Organization
Contact information
Practice address
33991 VICTORY WAY DR, OGEMA, MN 56569-9537
(218) 751-6553
(218) 751-1846
Mailing address
1741 15TH ST NW, BEMIDJI, MN 56601-8755
(218) 755-7146
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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