Affinity Support Services
Organization Active NPI Community/Behavioral Health Agency · Saint Paul, MN
NPI 1639743545 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1639743545
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AFFINITY SUPPORT SERVICES
- Practice address
- 1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312 - Phone
- (612) 876-2884
- NPI assigned
- May 14, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- AFFINITY SUPPORT SERVICES
Authorized official
- Name
- Abdullahi Abdille
- Title
- President
- Phone
- (612) 876-2884
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Affinity Support Services
- Part of
- Affinity Support Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312
Mailing address
1405 Silver Lake Rd NW Ste 18
Saint Paul, MN 55112-9312
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All providers in Saint Paul, MN · Community/Behavioral Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.