Organization
CHILDREN'S HOME SOCIETY & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SMITH (VP FINANCE & ADMINISTRATION)
(651) 255-2326
Entity
Organization
Contact information
Practice address
2230 COMO AVE, SAINT PAUL, MN 55108-1720
(651) 646-7771
(651) 646-0436
Mailing address
1605 EUSTIS ST, SAINT PAUL, MN 55108-1219
(651) 646-7771
(651) 255-2380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
800791-1-MHC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
305472100
MEDICAL ASSISTANCE
MN
Enumeration date
01/16/2007
Last updated
04/22/2009
Update your record
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