Organization
ZENITH COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS SUSAG PH.D. (OWNER)
(651) 698-1670
Entity
Organization
Contact information
Practice address
2175 HIGHLAND PKWY, SAINT PAUL, MN 55116-1314
(651) 698-1670
Mailing address
2175 HIGHLAND PKWY, SAINT PAUL, MN 55116-1314
(651) 698-1670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S00000X
—
MN
Enumeration date
06/28/2016
Last updated
06/28/2016
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