NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

RED LAKE DEPARTMENT OF FAMILY AND CHILDREN SERVICES – #1376753160
Residential Treatment Facility, Emotionally Disturbed Children

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.


Contact Information

RED LAKE DEPARTMENT OF FAMILY AND CHILDREN SERVICES
13586 TRIBAL AGENCY STREET
REDLAKE, MN56671-0427
 Phone: 218-679-2122
 Fax: 218-679-2929
 Website:
 

Specialty

Taxonomy

Residential Treatment Facility, Emotionally Disturbed Children

322D00000X
Indicates primary specialty
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NPI Information

NPI Number 1376753160
Entity Organization
Organization subpart N
Enumeration date 05/23/2007
Last updated 10/15/2007
Identifiers
MN License # 0001324

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