Provider Demographics
NPI:1952685158
Name:CANA CENTER FOR AFRICANS NEW TO AMERICA
Entity Type:Organization
Organization Name:CANA CENTER FOR AFRICANS NEW TO AMERICA
Other - Org Name:CANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KATE
Authorized Official - Middle Name:UCHE
Authorized Official - Last Name:ONYENEHO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MFT
Authorized Official - Phone:952-356-2953
Mailing Address - Street 1:6000 BASS LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429
Mailing Address - Country:US
Mailing Address - Phone:952-356-2953
Mailing Address - Fax:952-707-9684
Practice Address - Street 1:6000 BASS LAKE ROAD
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429
Practice Address - Country:US
Practice Address - Phone:952-356-2953
Practice Address - Fax:952-707-9684
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR AFRICANS NEW TO AMERICA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN365664103K00000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty