Circle Back Center

Organization Active NPI Community/Behavioral Health Agency · Ogema, MN

NPI 1811245137 · NPPES record last updated Aug 16, 2012

Key facts

NPI
1811245137
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
0008 (MN)
Legal business name
CIRCLE BACK CENTER
Practice address
35708 Co. Hwy. 21
Ogema, MN 56569-9998
Phone
(218) 983-3285
Fax
(218) 983-3027
NPI assigned
Aug 16, 2012
Organization subpart
No

Authorized official

Name
Mr. Joe Tonihka I, CADC III, ICADC
Title
Program Manager
Phone
(218) 983-3285

Corporate family (same tax ID) 25

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
White Earth Oshki Manidoo New Spirit Center (26 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0008 MN Yes

Addresses

Primary practice location

35708 Co. Hwy. 21
Ogema, MN 56569-9998

Mailing address

35708 Co. Hwy. 21
P.O. Box 418
White Earth, MN 56591
Phone (218) 983-3285

Other names

  • White Earth Tribal Council Other name

Other providers in Ogema, MN

All providers in Ogema, MN · Community/Behavioral Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.