National Provider Identifier Database

MILLE LACS BAND OF OJIBWE INDIANS
Substance Abuse Disorder Rehabilitation Facility

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.


Contact Information

MILLE LACS BAND OF OJIBWE INDIANS
11600 STATE AVE
BRAINERD, MN56401
Phone: 320-532-4163
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MILLE LACS BAND OF OJIBWE INDIANS

NPI Number 1285186007
Legal business name
LBN
MILLE LACS BAND OF OJIBWE INDIANS
Authorized official NICOLE ANDERSON - (HHS COMMISSIONER)
Entity Organization
Organization subpart Yes
Enumeration date 10/27/2016
Last updated 10/14/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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