Provider Demographics
NPI:1699430397
Name:RAMSEY COUNTY WITHDRAWAL MANAGEMENT PROGRAM
Entity type:Organization
Organization Name:RAMSEY COUNTY WITHDRAWAL MANAGEMENT PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-266-4417
Mailing Address - Street 1:402 UNIVERSITY AVENUE EAST
Mailing Address - Street 2:
Mailing Address - City:ST. PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55130
Mailing Address - Country:US
Mailing Address - Phone:651-266-4009
Mailing Address - Fax:651-266-4741
Practice Address - Street 1:160 KELLOGG BLVD EAST, SUITE 2300
Practice Address - Street 2:
Practice Address - City:ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101
Practice Address - Country:US
Practice Address - Phone:651-266-4009
Practice Address - Fax:651-266-4741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility