Organization
WHITE EARTH BAND OF CHIPPWA INDIANS
Active
Organization
WHITE EARTH BAND OF CHIPPWA INDIANS
Active
Parent organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Other names
White Earth Men's Substance Abuse Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE EARTH BAND OF CHIPPEWA INDIANS
Authorized official
ANGELA MARIE BELLANGER MSW, LICSW (ACUTE CARE MANAGER)
(218) 983-3285
Entity
Organization
Contact information
Practice address
2388 STATE HIGHWAY 200, MAHNOMEN, MN 56557-9370
(218) 983-3285
Mailing address
2388 STATE HIGHWAY 200, MAHNOMEN, MN 56557-9370
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0013
MN
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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