Red Lake Department of Family and Children Services

NPI #1376753160 in Redlake, Minnesota

Provider Information

NPI Number: 1376753160
Entity Type: Organization
Organization Name: Red Lake Department of Family and Children Services
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: May 23, 2007
Last Updated: Oct 15, 2007

Practice Location

Address: 13586 TRIBAL AGENCY STREET
City: Redlake
State: Minnesota
ZIP Code: 56671-0427
Phone: (218) 679-2122

Authorized Official

Name: DR. SANDRA PARSONS, PHD
Title: EXECUTIVE DIRECTOR
Phone: (218) 679-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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