Organization
BAD RIVER BAND OF LAKE SUPERIOR TRIBE OF CHIPPEWA INDIANS
Active
Other names
Bad River Social and Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
ESIE LEOSO (SOCIAL AND FAMILY SERVICES DIRECTOR)
(715) 682-7127
Entity
Organization
Contact information
Practice address
72772 ELM STREET, ODANAH, WI 54861-0055
(715) 682-7127
(715) 682-7883
Mailing address
PO BOX 55, ODANAH, WI 54861-0055
(715) 682-7127
(715) 682-7883
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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