| NPI | 1255462487 |
|---|---|
| Former Legal Business Name | NORTH SUBURBAN YOUTH HEALTH CLINIC, INC |
| Entity Type | Organization |
| Authorized Contact | DIANE THOMPSON MURRAY Clinical Director 763-235-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-02-13 |