Organization
RED LAKE DEPARTMENT OF FAMILY AND CHILDREN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA PARSONS PHD (EXECUTIVE DIRECTOR)
(218) 679-2122
Entity
Organization
Contact information
Practice address
13586 TRIBAL AGENCY STREET, REDLAKE, MN 56671-0427
(218) 679-2122
(218) 679-2929
Mailing address
PO BOX 427, REDLAKE, MN 56671-0427
(218) 679-2122
(218) 679-2929
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0001324
MN
Other
Enumeration date
05/23/2007
Last updated
10/15/2007
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