Organization
MILLE LACS BAND OF OJIBWE INDIANS
Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
Four Winds Lodge
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANDERSON (HHS COMMISSIONER)
(320) 532-4163
Entity
Organization
Contact information
Practice address
11600 STATE AVE, BRAINERD, MN 56401
(320) 532-4163
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 532-4163
(320) 532-7495
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/14/2021
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