Provider Demographics
NPI:1952477085
Name:COMUNIDADES LATINAS UNIDAS EN SERVICIO
Entity Type:Organization
Organization Name:COMUNIDADES LATINAS UNIDAS EN SERVICIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:HELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA TORRE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:651-379-4206
Mailing Address - Street 1:797 7TH ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-5014
Mailing Address - Country:US
Mailing Address - Phone:651-379-4200
Mailing Address - Fax:651-292-0347
Practice Address - Street 1:797 7TH ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-5014
Practice Address - Country:US
Practice Address - Phone:651-379-4200
Practice Address - Fax:651-292-0347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered251S00000XAgenciesCommunity/Behavioral Health