| NPI | 1376859660 |
|---|---|
| Former Legal Business Name | AFRICAN AMERICAN FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LATONYA DENISE DUPAS Counselor 612-238-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |