Provider Demographics
NPI:1871931535
Name:VOLUNTEERS OF AMERICA
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:651-488-0601
Mailing Address - Street 1:1394 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-4629
Mailing Address - Country:US
Mailing Address - Phone:651-488-0601
Mailing Address - Fax:651-488-0391
Practice Address - Street 1:1394 JACKSON ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-4629
Practice Address - Country:US
Practice Address - Phone:651-488-0601
Practice Address - Fax:651-488-0391
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1065490324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility