| NPI | 1225202625 |
|---|---|
| Doing Business As | REDLAKE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | SALENA BRANCHAUD Program Manager 218-679-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |