Provider Demographics
NPI:1073851101
Name:AFRICAN ASSISTANCE PROGRAM, INC
Entity Type:Organization
Organization Name:AFRICAN ASSISTANCE PROGRAM, INC
Other - Org Name:AAP
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:TARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-560-9643
Mailing Address - Street 1:6040 EARLE BROWN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2514
Mailing Address - Country:US
Mailing Address - Phone:763-560-9643
Mailing Address - Fax:763-560-9720
Practice Address - Street 1:6040 EARLE BROWN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-2514
Practice Address - Country:US
Practice Address - Phone:763-560-9643
Practice Address - Fax:763-560-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management