Provider First Line Business Practice Location Address:
WHITE EARTH MENTAL HEALTH
Provider Second Line Business Practice Location Address:
26246 CRANE RD
Provider Business Practice Location Address City Name:
WHITE EARTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
56591
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-983-4703
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2008