RED LAKE NATION YOUTH SAFE HARBOR INC
NPI 1851036123
Clinic/Center - Adolescent and Children Mental Health in Red Lake, MN

Q: What is Red Lake Nation Youth Safe Harbor Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since May 02, 2022

15834 PILL HILL AVENUE, RED LAKE, MN 56671(218) 679-6071 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2023, May 2, 2022 (2 updates tracked since 2022).

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About Red Lake Nation Youth Safe Harbor Inc NPPES

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

RED LAKE NATION YOUTH SAFE HARBOR INC (NPI 1851036123) is a healthcare organization registered as an adolescent and children mental health in Red Lake, Minnesota and active in the NPI registry since May 2022. The organization maintains a secondary practice location in Red Lake and lists Charlene Andersen, Revenue Generation Manager, as its authorized official.

NPPES Registry Identity

NPI1851036123

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameRED LAKE NATION YOUTH SAFE HARBOR INC

Location Address15834 PILL HILL AVENUERed Lake, MN 56671-0590

Mailing AddressPo Box 590Redlake, MN 56671-0590 · (218) 679-6071

Phone(218) 679-6071

Organization SubpartNo

Authorized OfficialCharlene AndersenRevenue Generation Manager · (218) 679-1320

Enumeration DateMay 2, 2022

Last NPPES UpdateJuly 17, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1851036123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

15834 PILL HILL AVENUE, Red Lake, MN 56671

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Secondary Practice Location 1

Location 123810 Hwy 1 EastRed Lake, MN 56671-1124 · Phone (218) 679-2556

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 Nation Youth Safe Harbor Inc's NPI number?

The NPI number for Red Lake Nation Youth Safe Harbor Inc is 1851036123. It was assigned to this organization in the NPPES registry on May 2, 2022.

Where is Red Lake Nation Youth Safe Harbor Inc located?

Red Lake Nation Youth Safe Harbor Inc is located at 15834 Pill Hill Avenue, Red Lake, MN 56671. The listed phone number is (218) 679-6071.

What is Red Lake Nation Youth Safe Harbor Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Red Lake Nation Youth Safe Harbor Inc was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.