Organization
REDLAKE CHEMICAL HEALTH PROGRAM GROUP HOME
Active
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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