Organization
COMMUNITY DRUG& ALCOHOL SERVICES INC
Active
Other names
OPTIONS Family & Behavior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN P SAMMON LMFT, LADC (PRESIDENT)
(952) 564-3000
Entity
Organization
Contact information
Practice address
2675 LONG LAKE RD STE 125, ROSEVILLE, MN 55113-2823
(952) 564-3000
(651) 925-0256
Mailing address
151 W BURNSVILLE PKWY STE 100, BURNSVILLE, MN 55337-2525
(952) 564-3000
(651) 925-0256
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
943127601
MN
261Q00000X
Clinic/Center
943127601
MN
261QM0855X
Adolescent and Children Mental Health Clinic/Center
943127601
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060113009
METROPOLITAN HEALTH P
MN
01
—
070726006
MAGELLAN
MN
01
—
1023423
PREFERRED ONE BHP
MN
01
—
131913
UCARE
MN
05
—
165166800
—
MN
05
—
559159700
—
MN
01
—
67161
HEALTH PARTNERS
MN
01
—
87726
UNITED HC
MN
05
—
943127601
—
MN
01
—
98D69CO
BCBS
MN
Enumeration date
04/14/2008
Last updated
09/28/2018
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