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White Earth Band Of Chippewa
Substance Abuse Rehabilitation Facility in Mahnomen, Minnesota
NPI 1558463877

White Earth Band Of Chippewa is a Substance Abuse Rehabilitation Facility based in Mahnomen, MN. White Earth Band Of Chippewa practices in Mahnomen, MN. The NPI Number for White Earth Band Of Chippewa is 1558463877 and holds a License No. (Minnesota).

The current practice location address for White Earth Band Of Chippewa is 2388 State Hwy 200, Mahnomen, MN and can be reached out via phone at 218-936-5653 and via fax at 218-936-5655.

Location: 2388 State Hwy 200, Mahnomen, MN, 56557-0359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558463877
Provider Name
White Earth Band Of Chippewa
Credential
Provider Entity Type
Organization
Address
2388 State Hwy 200, Mahnomen, MN, 56557-0359
Phone Number
218-936-5653
Fax Number
218-936-5655
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2388 State Hwy 200
City
Mahnomen
State
Minnesota
Zip
56557
Phone Number
218-936-5653
Fax Number
218-936-5655
person
Provider Business Mailing Address Details
Address
2388 State Hwy 200
City
Mahnomen
State
Minnesota
Zip
56557
Phone Number
218-936-5653
Fax Number
218-936-5655
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
(Minnesota)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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