| South Metro Human Services Dba Radias Health | |
|
1435 Grand Ave St Paul MN 55105 | |
| (651) 340-7939 | |
| (651) 340-7951 |
| Full Name | South Metro Human Services Dba Radias Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1435 Grand Ave, St Paul, Minnesota |
| Authorized Official Name and Position | Tom Paul (PRESIDENT) |
| Authorized Official Contact | 6512561234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Metro Human Services Dba Radias Health 1435 Grand Ave St Paul MN 55105 Ph: (651) 340-7939 | South Metro Human Services Dba Radias Health 1435 Grand Ave St Paul MN 55105 Ph: (651) 340-7939 |
| NPI Number | 1346314820 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 02/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346314820 | NPI | - | NPPES |
| 356797401 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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