OrganizationActive
Complementary Support Services
NPI 1497077796 · Community/Behavioral Health Agency · Chanhassen, MN
Provider details
- NPI number
- 1497077796
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Teri Dimond, President(612) 861-9601
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2345 Stone Creek Ln W
Chanhassen, MN 55317-7413
Phone: (612) 203-5257
Fax: (952) 470-5783
Street-level locationGet directions
Mailing address
6701 Penn Ave S Ste 301
Richfield, MN 55423-2085
Registry dates
- Enumerated
- 2010-02-28
- Last updated
- 2010-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.