Organization · Type 2 NPI

Red Lake Chemical Health Programs

Substance Abuse Rehabilitation Facility · Red Lake, MN

NPI number 1700394640 Active

Practice location

15797 Main Ave
Red Lake, MN 56671-0114

Call (218) 679-3331 Map

Fax (218) 679-3302

Mailing address

P.o. Box 114
Red Lake, MN 56671

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Red Lake Chemical Health Programs OutpatientIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Redlake, MN NPI 1881802411

NPI record

NPI: 1700394640
Entity type: Organization (Type 2)
Issued: Jan 12, 2018
Last updated: Mar 19, 2019
Status: Active
Subpart: Yes of Red Lake Chemical Health Programs

Other names

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Pregnant Women & Families Outpatient · other name

Authorized official

Reyna Cruz Gonzalez-Rivera
Project Director
(218) 679-3392

Verify this record

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About NPI 1700394640

Red Lake Chemical Health Programs's National Provider Identifier is 1700394640, issued on Jan 12, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Red Lake, MN. The record was last updated on Mar 19, 2019.