PREGNANT WOMEN & FAMILIES OUTPATIENT
NPI 1700394640
Substance Abuse Rehabilitation Facility in Red Lake, MN

Active since January 12, 2018
15797 MAIN AVE, RED LAKE, MN 56671(218) 679-3331(218) 679-3302 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2019, Jan 12, 2018 (2 updates tracked since 2018).

About Pregnant Women & Families Outpatient NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREGNANT WOMEN & FAMILIES OUTPATIENT (NPI 1700394640) is a healthcare organization registered as a substance abuse rehabilitation facility in Red Lake, Minnesota and active in the NPI registry since January 2018. The organization lists Reyna Cruz Gonzalez-rivera, Project Director, as its authorized official.

NPPES Registry Identity

NPI1700394640
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRED LAKE CHEMICAL HEALTH PROGRAMS
Location Address15797 MAIN AVERed Lake, MN 56671-0114
Mailing AddressP.o. Box 114Red Lake, MN 56671
Fax(218) 679-3302
Organization SubpartYes
Authorized OfficialReyna Cruz Gonzalez-riveraProject Director · (218) 679-3392
Enumeration DateJanuary 12, 2018
Last NPPES UpdateMarch 19, 20192 updates tracked since enumeration
NPI 1700394640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
15797 MAIN AVE, Red Lake, MN 56671

Other Names 1

Other NamePregnant Women & Families Outpatient

Other Identifiers 1

Other1003MN · Tribal License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
15797 MAIN AVE, HWY 1
REDLAKE, MN 56671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Red Lake Chemical Health Programs's NPI number?

The NPI number for Red Lake Chemical Health Programs is 1700394640. It was assigned to this organization in the NPPES registry on January 12, 2018. The provider is also known as Pregnant Women & Families Outpatient.

Where is Red Lake Chemical Health Programs located?

Red Lake Chemical Health Programs is located at 15797 Main Ave, Red Lake, MN 56671. The listed phone number is (218) 679-3331.

What is Red Lake Chemical Health Programs's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Red Lake Chemical Health Programs was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.