National Provider Identifier Database

REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
Substance Abuse Treatment, Children

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.


Contact Information

REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
15797 MAIN AVENUE
RED LAKE, MN56671
Phone: 218-679-3995
Fax: 218-679-3976
Website:
Specialty Taxonomy Code
* Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME

NPI Number 1225202625
Legal business name
LBN
REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
Authorized official SALENA BRANCHAUD - (PROGRAM MANAGER)
Entity Organization
Organization subpart No
Enumeration date 04/16/2008
Last updated 04/16/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME

There are currently no reviews for REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME


NPIdb - Home
v2.201