Ally Supportive Services, LLC
NPI #1407449846 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1407449846
- Entity Type
- Organization
- Organization Name
- Ally Supportive Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 17, 2021
- Last Updated
- Feb 17, 2021
Practice Location
- Address
- 245 MARIE AVE E STE 107
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-4280
- Phone
- (651) 302-4471
Authorized Official
- Name
- NATHAN TONNANCOUR
- Title
- CHIEF MANAGER
- Phone
- (651) 302-4471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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