| African American Family Services | |
|
1041 Selby Ave Saint Paul MN 55104-6535 | |
| (612) 871-7878 | |
| Not Available |
| Full Name | African American Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1041 Selby Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jonathan G Lofgren (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 6122382302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| African American Family Services Po Box 8900 Minneapolis MN 55408-0900 Ph: (612) 871-7878 | African American Family Services 1041 Selby Ave Saint Paul MN 55104-6535 Ph: (612) 871-7878 |
| NPI Number | 1942471370 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942471370 | NPI | - | NPPES |
| 707055100 | Other | MN | MN DHS PROVIDER IHENNEPIN |
| 010757300 | Other | MN | MNDHS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 80113422CDT (Minnesota) | Primary |
| 251S00000X | Community/behavioral Health | 8059762CDT (Minnesota) | Secondary |
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