Healthcare Provider Details

I. General information

NPI: 1467685479
Provider Name (Legal Business Name): CENTER FOR AFRICANS NEW TO AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2009
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11712 CARTIER AVE S
BURNSVILLE MN
55337-3227
US

IV. Provider business mailing address

3333 N 4TH ST
MINNEAPOLIS MN
55412-2615
US

V. Phone/Fax

Practice location:
  • Phone: 952-356-2953
  • Fax:
Mailing address:
  • Phone: 612-276-1535
  • Fax: 612-276-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number366564
License Number StateMN

VIII. Authorized Official

Name: DR. KATE U ONYENEHO
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 612-276-1535