Organization
COMMUNITY DRUG & ALCOHOL SERVICES INC
Active
Other names
Options Family & Behavior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PATRICK SAMMON LMFT LADC (PRESIDENT)
(952) 564-3000
Entity
Organization
Contact information
Practice address
501EAST HWY 13, SUITE 108, BURNSVILLE, MN 55337
(952) 564-3000
(952) 564-3031
Mailing address
151 W BURNSVILLE PKWY, SUITE 100, BURNSVILLE, MN 55337-2524
(952) 564-3000
(952) 847-4966
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060113009
METROPOLITAN HP
MN
01
—
1007386
DHS LICENSE
MN
01
—
12637
DAKOTA COUNTY RULE 25 CONTRACT
MN
01
—
167105
BHP/UCARE
MN
01
—
167105
UCARE
—
01
—
4D45CO
BCBS
MN
01
—
82482
HEALTH PARTNERS
MN
01
—
87726
UNITED HC
MN
05
—
943127600
—
MN
Enumeration date
11/01/2006
Last updated
05/10/2011
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