| NPI | 1528427598 |
|---|---|
| Doing Business As | OSHKI MANIDOO MAT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JERI JASKEN Behavioral Health Director 218-983-4647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |