Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Red Lake Avivo Sud Tribal Health Services

Organization Substance Abuse Rehabilitation Facility · NPI 1740042654

Red Lake Avivo Sud Tribal Health Services is a Substance Abuse Rehabilitation Facility in Minneapolis, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1900 Chicago Ave S
Minneapolis, MN 55404
Phone: (612) 752-8106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1740042654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlene Andersen — Revenue Manger · (218) 679-1320
NPI enumeratedJanuary 25, 2024
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing addressPo Box 566, Redlake, MN 56671-0566

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