Provider Demographics
NPI:1902421662
Name:RADIAS HEALTH-HSS/HNP
Entity Type:Organization
Organization Name:RADIAS HEALTH-HSS/HNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-256-1294
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:55101-1474
Mailing Address - Country:US
Mailing Address - Phone:651-291-1979
Mailing Address - Fax:651-291-7378
Practice Address - Street 1:166 4TH ST E STE 200
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-1474
Practice Address - Country:US
Practice Address - Phone:651-291-1979
Practice Address - Fax:651-291-7378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty