Organization
REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
Active
Other names
REDLAKE GROUP HOME
Organization subpart
No
Provider details
NPI number
Authorized official
SALENA BRANCHAUD (PROGRAM MANAGER)
(218) 679-3995
Entity
Organization
Contact information
Practice address
15797 MAIN AVENUE, REDLAKE, MN 56671
(218) 679-3995
(218) 679-3976
Mailing address
PO BOX 114, REDLAKE, MN 56671-0114
(218) 679-3995
(218) 679-3976
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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