Provider Demographics
NPI:1710615745
Name:SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Entity Type:Organization
Organization Name:SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-256-1211
Mailing Address - Street 1:166 4TH ST E STE 200
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-1667
Mailing Address - Country:US
Mailing Address - Phone:651-291-1979
Mailing Address - Fax:651-291-7378
Practice Address - Street 1:2021 E HENNEPIN AVE STE 330
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55413-1798
Practice Address - Country:US
Practice Address - Phone:612-435-7207
Practice Address - Fax:612-435-7201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management