OrganizationActive
Ally Supportive Services, LLC
NPI 1407449846 · Community/Behavioral Health Agency · West St Paul, MN
Provider details
- NPI number
- 1407449846
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nathan Tonnancour, Chief Manager(651) 302-4471
Specialties & taxonomies
Agencies
Practice location
245 Marie Ave E Ste 107
West St Paul, MN 55118-4280
Phone: (651) 302-4471
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 544
South St Paul, MN 55075-0544
Registry dates
- Enumerated
- 2021-02-17
- Last updated
- 2021-02-17
- Certified
- 2021-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.