Organization · Type 2 NPI

Red Lake Department of Family and Children Services

Emotionally Disturbed Childrens' Residential Treatment Facility · Redlake, MN

NPI number 1376753160 Active

Practice location

13586 Tribal Agency Street
Redlake, MN 56671-0427

Fax (218) 679-2929

Mailing address

PO Box 427
Redlake, MN 56671-0427

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X0001324 (MN)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

About NPI 1376753160

Red Lake Department of Family and Children Services's National Provider Identifier is 1376753160, issued on May 23, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Redlake, MN. The record was last updated on Oct 15, 2007.