Organization
COMMUNITY DRUG & ALCOHOL SERVICES INC
Active
Other names
Options Family & Behavior Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA PATCHE MA (DIRECTOR OF FINANCE)
(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
(952) 564-3031
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
MAGELLAN
MN
01
—
167105
BHP/UCARE
MN
01
—
4D45CO
BCBS
MN
05
—
559159700
—
MN
01
—
82482
HEALTH PARTNERS
MN
01
—
87726
UNITED HEALTH CARE
MN
Enumeration date
10/17/2006
Last updated
09/28/2018
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