Organization
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM PAUL (PRESIDENT)
(651) 256-1234
Entity
Organization
Contact information
Practice address
1435 GRAND AVE, ST PAUL, MN 55105
(651) 340-7939
(651) 340-7951
Mailing address
1435 GRAND AVE, ST PAUL, MN 55105
(651) 340-7939
(651) 340-7951
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356797401
—
MN
Enumeration date
11/17/2006
Last updated
02/05/2019
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