NPI 1376753160

Red Lake Department of Family and Children Services

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Redlake, MN

Practice location

Address: 13586 Tribal Agency Street, Redlake, MN 56671-0427
Phone: (218) 679-2122
Fax: (218) 679-2929
Mailing address: PO Box 427, Redlake, MN 56671-0427

Authorised official

Name: Sandra Parsons
Title: Executive Director
Phone: (218) 679-2122

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 0001324 (MN)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Minnesota →

Registry record

NPI: 1376753160
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 15 Oct 2007

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.