Organization
WHITE EARTH BAND OF CHIPPEWA
Active
Other names
White Earth Womens Welbrity Center
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MORAN LADC (CHEMICAL DEPENDENCY COORDINATOR)
(218) 983-3285
Entity
Organization
Contact information
Practice address
2388 STATE HWY 200, MAHNOMEN, MN 56557
(218) 936-5653
(218) 936-5655
Mailing address
PO BOX 359, MAHNOMEN, MN 56557-0359
(218) 936-5653
(218) 936-5655
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
MN
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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