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Organization

LOWER SIOUX INDIAN COMMUNITY

Active
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Organization

LOWER SIOUX INDIAN COMMUNITY

Active
Other names
Woniya Kini Behavioral Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GABRIELLE STRONG (TRIBAL ADMINISTRATOR)
(507) 697-6185
Entity
Organization

Contact information

Practice address
39458 RESERVATION HIGHWAY 1, MORTON, MN 56270-1252
(507) 697-6288
Mailing address
39458 RESERVATION HIGHWAY 1, MORTON, MN 56270-1252
(507) 697-6288

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
901477200
TAX ID
MN
Enumeration date
03/19/2007
Last updated
06/26/2008
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