Red Lake Chemical Health Programs

NPI #1700394640 in Red Lake, Minnesota

Provider Information

NPI Number
1700394640
Entity Type
Organization
Organization Name
Red Lake Chemical Health Programs
Subpart
Yes (part of a larger organization)
Parent Organization
RED LAKE CHEMICAL HEALTH PROGRAMS
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jan 12, 2018
Last Updated
Mar 19, 2019

Practice Location

Address
15797 MAIN AVE
ZIP Code
56671-0114
Phone
(218) 679-3331

Authorized Official

Name
REYNA CRUZ GONZALEZ-RIVERA
Title
PROJECT DIRECTOR
Phone
(218) 679-3392

Specialties & Taxonomy Codes

Specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Substance Abuse Rehabilitation Facility

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