OrganizationActive
Complementary Support Services
NPI 1174537823 · Voluntary or Charitable Agency · Richfield, MN
Provider details
- NPI number
- 1174537823
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Organization subpart
- No
- Authorized official
- Teri Dimond, Executive Director(952) 895-1730
Specialties & taxonomies
Agencies
Practice location
6701 Penn Ave S
Suite #301
Richfield, MN 55423-2093
Phone: (952) 895-1730
Approximate (ZIP-level) locationGet directions
Mailing address
6701 Penn Ave S
Richfield, MN 55423-2093
Registry dates
- Enumerated
- 2006-07-28
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.