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Organization

MILLE LACS BAND OF OJIBWE INDIANS

Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
East Lake Alcohol & Drug Program
Organization subpart
Yes

Provider details

NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
(320) 532-4163
Entity
Organization

Contact information

Practice address
36666 STATE HIGHWAY 65, MCGREGOR, MN 55760
(218) 768-2431
(218) 768-2697
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 532-4163
(320) 532-7495

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/11/2009
Last updated
10/14/2021
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