Organization
SOUTH METRO HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM PAUL (PRESIDENT)
(651) 256-1234
Entity
Organization
Contact information
Practice address
166 4TH ST E, ST PAUL, MN 55101
(651) 291-1979
(651) 291-7378
Mailing address
166 4TH ST E, ST PAUL, MN 55101
(651) 291-1979
(651) 291-7378
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1033092-1-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
454157000
—
MN
Enumeration date
11/01/2006
Last updated
05/21/2015
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