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African American Family Services

Community/Behavioral Health in Saint Paul, MN. Organization (NPI-2).

NPI number1942471370
StatusActive
Last updated in NPPESMay 13, 2008

Details

NPI
1942471370
Entity type
Organization (NPI-2)
Legal business name
African American Family Services
Organization subpart
No
Enumeration date
Mar 13, 2008
Last updated
May 13, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health80113422CDTMNYes
251S00000X Community/Behavioral Health8059762CDTMN

Practice location

1041 Selby Ave
Saint Paul, MN 55104-6535

Phone 612-871-7878

Mailing address

Po Box 8900
Minneapolis, MN 55408-0900

Phone 612-871-7878

Authorized official

Jonathan G Lofgren
Chief Operations Officer
6122382302

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