National Provider Identifier Database

WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER
1741 15TH ST NW
BEMIDJI, MN56601-8755
Phone: 218-751-6553
Fax: 218-751-1846
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER

NPI Number 1194961276
Legal business name
LBN
WHITE EARTH OSHKI MANIDOO NEW SPIRIT CENTER
Authorized official JILL HEWITT - (DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/19/2008
Last updated 12/19/2008 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1052679

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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