NPI 1386530178

African American Survivor Services

Organisation Prevention Professional Saint Paul, MN

Practice location

Address: 285 Dale St N STE 100, Saint Paul, MN 55103-2413
Phone: (612) 306-3416

Authorised official

Name: Ivan Louis Nelson
Title: Director/Cprsr
Phone: (612) 306-3416

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X

Other Prevention Professional providers in Minnesota →

Registry record

NPI: 1386530178
Entity type: Organization
NPI issued: 17 Jun 2025
Record last updated: 17 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.