Organization
DAKOTA COUNTY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BIRK (SENIOR ACCOUNTING MANAGER)
(651) 438-4508
Entity
Organization
Contact information
Practice address
1 MENDOTA RD W, WEST ST PAUL, MN 55118-4764
(651) 438-4508
(651) 438-4603
Mailing address
1590 HIGHWAY 55, HASTINGS, MN 55033-2372
(651) 438-4508
(651) 438-4603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053409003
—
MN
05
—
1285722272
—
MN
05
—
1427127620
—
MN
Enumeration date
04/17/2008
Last updated
04/17/2008
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