Organization Name: | WHITE EARTH BAND OF OJIBWE - INDIAN CHILD WELFARE |
NPI Number: | 1457639551 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERI LYNN JASKEN (CHILD WELFARE DIRECTOR) |
Mailing Address: | 301 Feather Street Ogema |
State: | MN US |
Postal Code: | 56569 |
Phone Number: | 2189833011 |
Fax Number: | 2189833002 |
NPI Enumeration Date: | 07/25/2011 |
NPI Last Update Date: | 07/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 14486 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |