White Earth Fasd Program

NPI 1568790012 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1568790012
Enumeration Date 11/20/2009
Last Updated 03/14/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Phone (218) 983-3286
Fax (218) 983-4308
Practice Location
26246 CRANE RD
WHITE EARTH MN, 56591-9998, US
Phone (218) 983-3286
Fax (218) 983-4308
Business Location
PO BOX 348
WHITE EARTH MN, 56591-0348, US
Phone (218) 983-3286
Fax (218) 983-4308
Taxonomy Code 251S00000X
License State
License Number
Remove 1568790012 NPI Number

According to our database, White Earth Fasd Program NPI is 1568790012, taxonomy code is 251S00000X White Earth Fasd Program physically located at 26246 Crane Rd, White Earth MN, 56591-9998. NPI Number 1033115704 has the healthcare provider type.

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1568790012 NPI number is provided on an as is basis without warranty of any kind. 1568790012 is maintained by the National Plan & Provider Enumeration System. The contents of White Earth Fasd Program are for informational purposes only.