Edify Youth

NPI #1477895985 in Crystal, Minnesota

Provider Information

NPI Number: 1477895985
Entity Type: Organization
Organization Name: Edify Youth
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 22, 2013
Last Updated: Mar 22, 2013

Practice Location

Address: 5108 LAKESIDE AVE N
City: Crystal
State: Minnesota
ZIP Code: 55429-3734
Phone: (612) 306-4575

Authorized Official

Name: MICHELE BAUER
Title: ADMINISTRATOR
Phone: (763) 567-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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