Provider Demographics
NPI:1467592865
Name:AMERICAN INDIAN FAMILY CENTER
Entity Type:Organization
Organization Name:AMERICAN INDIAN FAMILY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:H
Authorized Official - Last Name:STRATIG
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:651-793-3803
Mailing Address - Street 1:579 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101-4134
Mailing Address - Country:US
Mailing Address - Phone:651-793-3803
Mailing Address - Fax:651-793-3809
Practice Address - Street 1:579 WELLS ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-4134
Practice Address - Country:US
Practice Address - Phone:651-793-3803
Practice Address - Fax:651-793-3809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty