Organization
WHITE EARTH BAND OF OJIBWE
Active
Parent organization
WHITE EARTH BAND OF OJIBWE
Other names
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
2515 WORKFORCE CENTER ROAD, MAHNOMEN, MN 56557
(218) 936-2442
Mailing address
PO BOX 70, NAYTAHWAUSH, MN 56566-0070
(218) 936-2442
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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