OSHKI MANIDOO OUTPATIENT PROGRAM

BEMIDJI, MN
NPI1598129041
Doing Business AsOSHKI MANIDOO
Entity TypeOrganization
Authorized ContactJEREMY SYVERSON
Administrator
218-751-6553
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2016-04-11
Last Update Date2016-04-11
Business Address
OSHKI MANIDOO OUTPATIENT PROGRAM
1741 15TH ST NW
BEMIDJI, MN 56601-8755
Phone number: 218-751-6553
Mailing Address
OSHKI MANIDOO OUTPATIENT PROGRAM
1741 15TH ST NW
BEMIDJI, MN 56601-8755
Phone number: 218-751-6553