Organization
COMMUNITY OPTIONS ST. PAUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M OLLENDICK WRIGHT LICSW (EXECUTIVE DIRECTOR)
(763) 277-1038
Entity
Organization
Contact information
Practice address
1585 RICE ST, SAINT PAUL, MN 55117-3751
(651) 487-8088
(651) 487-8105
Mailing address
1585 RICE ST, SAINT PAUL, MN 55117-3751
(651) 487-8088
(651) 487-8105
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
331560
MN
251X00000X
Supports Brokerage Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
05/24/2013
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