Organization
TURTLE MOUNTAIN BAND OF CHIPPEWA INDIANS
Active
Other names
5th Generation Healing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE AZURE (CHIEF EXECUTIVE OFFICER)
(701) 477-2673
Entity
Organization
Contact information
Practice address
1105 SHELDON SOURAY AVENUE, BELCOURT, ND 58316-0520
(701) 477-3121
(701) 477-8925
Mailing address
1105 SHELDON SOURAY AVENUE, P.O. BOX 520, BELCOURT, ND 58316-0520
(701) 477-3121
(701) 477-8925
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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