Organization
AFRICAN AMERICAN SURVIVOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN LOUIS NELSON CPRSR-FE (DIRECTOR/CPRSR)
(612) 306-3416
Entity
Organization
Contact information
Practice address
285 DALE ST N STE 100, SAINT PAUL, MN 55103-2413
(612) 306-3416
Mailing address
285 DALE ST N STE 100, SAINT PAUL, MN 55103-2413
(612) 306-3416
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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