| Organization Name: | NATIONAL INITIATIVES FOR HEALTHY YOUTH |
| NPI Number: | 1083961635 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA MARIE FRYE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 7948 Quail Ave N Brooklyn Park |
| State: | MN US |
| Postal Code: | 554432423 |
| Phone Number: | 7635687340 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TF0200X |
| License Number: | CC003709 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Forensic |
| Taxonomy Definition: | |