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Warrior Down - Peer Recovery Support
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Red Lake, Minnesota
NPI 1003332057

Warrior Down - Peer Recovery Support is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Red Lake, MN. Warrior Down - Peer Recovery Support practices in Red Lake, MN. The NPI Number for Warrior Down - Peer Recovery Support is 1003332057 and holds a License No. (Minnesota).

The current practice location address for Warrior Down - Peer Recovery Support is 15533 Main Avenue, Red Lake, MN and can be reached out via phone at 218-679-3392.

Location: 15533 Main Avenue, Red Lake, MN, 56671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003332057
Provider Name
Warrior Down - Peer Recovery Support
Credential
Provider Entity Type
Organization
Address
15533 Main Avenue, Red Lake, MN, 56671
Phone Number
218-679-3392
Fax Number
Provider Enumeration Date
08/21/2017
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001 01 MN TRIBAL LICENSE
institution
Provider Business Practice Location Address Details
Address
15533 Main Avenue
City
Red Lake
State
Minnesota
Zip
56671-0114
Phone Number
218-679-3392
Fax Number
person
Provider Business Mailing Address Details
Address
15533 Main Avenue
City
Red Lake
State
Minnesota
Zip
56671-0114
Phone Number
218-679-3392
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
()
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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