Provider Demographics
NPI:1548599319
Name:CATASYS HEALTH MINNESOTA, INC.
Entity Type:Organization
Organization Name:CATASYS HEALTH MINNESOTA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CORPORATE DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:IZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-444-4353
Mailing Address - Street 1:11150 SANTA MONICA BLVD
Mailing Address - Street 2:SUITE 1500
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:310-444-4300
Mailing Address - Fax:
Practice Address - Street 1:7825 WASHINGTON AVENUE SOUTH
Practice Address - Street 2:SUITE 500, PMB# 600-005
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55439
Practice Address - Country:US
Practice Address - Phone:310-444-4353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management