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Organization

AFRICAN AMERICAN FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN G LOFGREN LADC (CHIEF OPERATIONS OFFICER)
(612) 238-2302
Entity
Organization

Contact information

Practice address
1041 SELBY AVE, SAINT PAUL, MN 55104-6535
(612) 871-7878
Mailing address
PO BOX 8900, MINNEAPOLIS, MN 55408-0900
(612) 871-7878

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
80113422CDT
MN
251S00000X
Community/Behavioral Health Agency
8059762CDT
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010757300
MNDHS PROVIDER NUMBER
MN
01
707055100
MN DHS PROVIDER IHENNEPIN
MN
Enumeration date
03/13/2008
Last updated
05/13/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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