NPI 1003332057
Warrior Down - Peer Recovery Support
Practice location
- Address
- 15533 Main Avenue, Red Lake, MN 56671-0114
- Phone
- (218) 679-3392
- Mailing address
- P.O. Box 114, Red Lake, MN 56671
Authorised official
- Name
- Salena Beasley
- Title
- Admin Officer
- Phone
- (218) 679-3392
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1003332057
- Entity type
- Organization
- NPI issued
- 21 Aug 2017
- Record last updated
- 27 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.