Provider Demographics
NPI:1568543601
Name:COMMUNITY DRUG & ALCOHOL SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY DRUG & ALCOHOL SERVICES INC
Other - Org Name:OPTIONS FAMILY & BEHAVIOR SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATCHE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:952-564-3000
Mailing Address - Street 1:151 W BURNSVILLE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2525
Mailing Address - Country:US
Mailing Address - Phone:952-564-3000
Mailing Address - Fax:952-564-3031
Practice Address - Street 1:2675 LONG LAKE RD STE 125
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2823
Practice Address - Country:US
Practice Address - Phone:952-564-3000
Practice Address - Fax:651-925-0256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN060113009OtherMAGELLAN
MN167105OtherBHP/UCARE
MN559159700Medicaid
MN82482OtherHEALTH PARTNERS
MN4D45COOtherBCBS
MN060113009OtherMETROPOLITAN HEALTH PLAN
MN87726OtherUNITED HEALTH CARE