| National Initiatives For Healthy Youth | |
|
7948 Quail Ave N Brooklyn Park MN 55443-2423 | |
| (763) 568-7340 | |
| Not Available |
| Full Name | National Initiatives For Healthy Youth |
|---|---|
| Speciality | Psychologist - Forensic |
| Location | 7948 Quail Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Brenda Marie Frye (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7632292753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Initiatives For Healthy Youth 7948 Quail Ave N Brooklyn Park MN 55443-2423 Ph: (763) 568-7340 | National Initiatives For Healthy Youth 7948 Quail Ave N Brooklyn Park MN 55443-2423 Ph: (763) 568-7340 |
| NPI Number | 1083961635 |
|---|---|
| Provider Enumeration Date | 08/13/2012 |
| Last Update Date | 08/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083961635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0200X | Psychologist - Forensic | CC003709 (Minnesota) | Primary |
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