Organization
SOUTH METRO HUMAN SERVICES-ACT BLUE
Active
Other names
RADIAS Health
Organization subpart
No
Provider details
NPI number
Authorized official
TOM PAUL (PRESIDENT)
(651) 256-1234
Entity
Organization
Contact information
Practice address
166 4TH ST E, SUITE 200, SAINT PAUL, MN 55101-1421
(651) 389-4690
(651) 389-4691
Mailing address
166 4TH ST E, SUITE 200, SAINT PAUL, MN 55101-1421
(651) 389-4690
(651) 389-4691
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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