Provider Demographics
NPI:1326276361
Name:CHEMICAL HEALTH ASSESSMENT SERVICES
Entity Type:Organization
Organization Name:CHEMICAL HEALTH ASSESSMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:VERONICA
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LADC
Authorized Official - Phone:763-639-9159
Mailing Address - Street 1:700 CAMBRIDGE ST APT 310
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8377
Mailing Address - Country:US
Mailing Address - Phone:763-639-9159
Mailing Address - Fax:
Practice Address - Street 1:700 CAMBRIDGE ST APT 310
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8377
Practice Address - Country:US
Practice Address - Phone:763-639-9159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty