NPI 1578070991
Red Lake Chemical Health Programs
Practice location
- Address
- 15566 Dakota Avenue, Redby, MN 56670
- Phone
- (218) 679-3387
- Fax
- (218) 679-2375
- Mailing address
- P.O. Box 114, Red Lake, MN 56671
Authorised official
- Name
- Reyna Cruz Gonzalez-Rivera
- Title
- Project Director
- 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
- 1578070991
- Entity type
- Organization
- NPI issued
- 8 Jan 2018
- Record last updated
- 20 Mar 2019
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.