Organization
OPTIONS RESIDENTIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN P SAMMON LMFT LADC (PRESIDENT)
(612) 226-7120
Entity
Organization
Contact information
Practice address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
(952) 564-3038
Mailing address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138003
UCARE
MN
Enumeration date
06/02/2008
Last updated
06/02/2008
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