Organization
OSHKI MANIDOO OUTPATIENT PROGRAM
Active
Parent organization
WHITE EARTH BAND OF CHIPPEWA INDIANS
Other names
Oshki Manidoo
Organization subpart
Yes
Provider details
NPI number
Legal business name
WHITE EARTH BAND OF CHIPPEWA INDIANS
Authorized official
MR. JEREMY SYVERSON MBA (ADMINISTRATOR)
(218) 751-6553
Entity
Organization
Contact information
Practice address
1741 15TH ST NW, BEMIDJI, MN 56601-8755
(218) 751-6553
(218) 751-1846
Mailing address
1741 15TH ST NW, BEMIDJI, MN 56601-8755
(218) 751-6553
(218) 751-1846
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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