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Organization

AFRICAN AMERICAN YOUTH HARVEST FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL LOFTON CEO (CEO)
(512) 585-6696
Entity
Organization

Contact information

Practice address
6633 E HWY 290, SUITE 307, AUSTIN, TX 78723-1172
(512) 428-4480
(512) 291-6103
Mailing address
6633 E HWY 290, SUITE 307, AUSTIN, TX 78723-1172
(512) 428-4480
(512) 291-6103

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
64648
TX

Other

Enumeration date
03/06/2017
Last updated
03/06/2017
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