Provider Demographics
NPI:1417181793
Name:AL-WAFAA CENTER FOR HUMAN SERVICES
Entity Type:Organization
Organization Name:AL-WAFAA CENTER FOR HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMDY
Authorized Official - Middle Name:E
Authorized Official - Last Name:EL-SAWAF
Authorized Official - Suffix:
Authorized Official - Credentials:MA, PHD
Authorized Official - Phone:763-227-8626
Mailing Address - Street 1:3315 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-2659
Mailing Address - Country:US
Mailing Address - Phone:763-227-8626
Mailing Address - Fax:612-588-9734
Practice Address - Street 1:3315 N 2ND ST.
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-2659
Practice Address - Country:US
Practice Address - Phone:763-227-8626
Practice Address - Fax:612-588-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health