Organization
WHITE EARTH BAND OF OJIBWE
Active
Parent organization
WHITE EARTH BAND OF OJIBWE
Other names
Urban MOMS Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE EARTH BAND OF OJIBWE
Authorized official
JERI JASKEN (BEHAVIORAL HEALTH DIRECTOR)
(218) 983-4647
Entity
Organization
Contact information
Practice address
1730 CLIFTON PL, MINNEAPOLIS, MN 55403-3242
(763) 464-4137
Mailing address
1730 CLIFTON PL, MINNEAPOLIS, MN 55403-3242
(763) 464-4137
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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