Provider Demographics
NPI:1952077349
Name:NATIVE AMERICAN FATHERHOOD & FAMILIES ASSOCIATION
Entity Type:Organization
Organization Name:NATIVE AMERICAN FATHERHOOD & FAMILIES ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY-LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAATOAFE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:480-833-5007
Mailing Address - Street 1:525 W SOUTHERN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5009
Mailing Address - Country:US
Mailing Address - Phone:480-833-5007
Mailing Address - Fax:
Practice Address - Street 1:525 W SOUTHERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5009
Practice Address - Country:US
Practice Address - Phone:480-833-5007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health