Red Lake Chemical Health Programs
Red Lake Chemical Health Programs is a Substance Abuse Rehabilitation Facility in Ponemah, Minnesota. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
19195 N Ponemah RdPonemah, MN 56666
Phone: (218) 554-7425
Fax: (218) 554-7325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (primary) | Taxonomy 332800000X |
|---|---|
| Substance Abuse Rehabilitation Facility | Taxonomy 324500000X |
Record details
| NPI number | 1992213839 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ponemah Outpatient |
| Authorized official | Reyna Gonzalez-Rivera — Project Director · (218) 679-3392 |
| Other names | Ponemah Outpatient |
| NPI enumerated | January 12, 2018 |
| Last updated in NPPES | March 20, 2019 |
| Mailing address | P.O. Box 114, Red Lake, MN 56671 |
Other providers in Ponemah
-
Obaashing Treatment Center
27190 N Shore Rd, Ponemah, MN 56666 · (218) 679-3341