African American Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

805976-2-CDT Issued in MN

Legal business name

AFRICAN AMERICAN FAMILY SERVICES

Practice address

1041 Selby Ave
Saint Paul, MN 55104-6535

Phone

(651) 642-0021

Fax

(651) 642-0043

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lissa Jones

Title

Executive Director

Phone

(612) 871-7878

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1609043124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046535",
            "telephone_number": "651-642-0021",
            "fax_number": "651-642-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046535",
            "telephone_number": "651-642-0021",
            "fax_number": "651-642-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFRICAN AMERICAN FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-871-7878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "805976-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.