OrganizationActive
African American Survivor Services
NPI 1386530178 · Prevention Professional · Saint Paul, MN
Provider details
- NPI number
- 1386530178
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Authorized official
- Ivan Nelson, Director/Cprsr
Practice location
285 Dale St N Ste 100
Saint Paul, MN 55103-2413
Phone: (612) 306-3416
Mailing address
285 Dale St N Ste 100
Saint Paul, MN 55103-2413
Registry dates
- Enumerated
- 2025-06-17
- Last updated
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.