| NPI | 1083961635 |
|---|---|
| Doing Business As | FORENSIC PSYCHOLOGICAL SERVICES FOR YOUTH |
| Entity Type | Organization |
| Authorized Contact | BRENDA MARIE FRYE Executive Director 763-229-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MN cc003709) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |