Organization
MILLE LACS BAND OF OJIBWE INDIANS
Active
Parent organization
MILLE LACS BAND OF OJIBWE INDIANS
Other names
Ne Ia Shing Clinic SUD Outpatient Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official
NICOLE ANNIE ANDERSON (COMMISSIONER OF HHS)
(320) 532-4163
Entity
Organization
Contact information
Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359
(320) 532-4163
Mailing address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359
(320) 532-4163
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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