| Children's Home Society & Family Services | |
|
2230 Como Ave Saint Paul MN 55108-1720 | |
| (651) 646-7771 | |
| (651) 646-0436 |
| Full Name | Children's Home Society & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2230 Como Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Daniel Smith (VP FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 6512552326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Society & Family Services 1605 Eustis St Saint Paul MN 55108-1219 Ph: (651) 646-7771 | Children's Home Society & Family Services 2230 Como Ave Saint Paul MN 55108-1720 Ph: (651) 646-7771 |
| NPI Number | 1588715304 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 04/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588715304 | NPI | - | NPPES |
| 305472100 | Other | MN | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800791-1-MHC (Minnesota) | Primary |
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