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Organization

AFFINITY SUPPORT SERVICES

Active
Parent organization
AFFINITY SUPPORT SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
AFFINITY SUPPORT SERVICES
Authorized official
ABDULLAHI ABDILLE (PRESIDENT)
(612) 876-2884
Entity
Organization

Contact information

Practice address
1405 SILVER LAKE RD NW STE 18, SAINT PAUL, MN 55112-9312
(612) 876-2884
Mailing address
1405 SILVER LAKE RD NW STE 18, SAINT PAUL, MN 55112-9312

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/14/2021
Last updated
05/14/2021
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