Provider Demographics
NPI:1316136203
Name:SOMALI FAMILY AND YOUTH SERVICES
Entity type:Organization
Organization Name:SOMALI FAMILY AND YOUTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAEED
Authorized Official - Middle Name:H
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-227-9249
Mailing Address - Street 1:310 E 38TH ST
Mailing Address - Street 2:SUITE G.
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1300
Mailing Address - Country:US
Mailing Address - Phone:612-252-2416
Mailing Address - Fax:612-252-2412
Practice Address - Street 1:310 E 38TH ST
Practice Address - Street 2:SUITE G.
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1300
Practice Address - Country:US
Practice Address - Phone:612-252-2416
Practice Address - Fax:612-252-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable