Provider Demographics
NPI:1164635983
Name:YOUTH LINK
Entity Type:Organization
Organization Name:YOUTH LINK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSEBY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:612-252-1207
Mailing Address - Street 1:41 NO 12TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-1325
Mailing Address - Country:US
Mailing Address - Phone:612-252-1200
Mailing Address - Fax:312-252-1201
Practice Address - Street 1:41 NO 12TH ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-1325
Practice Address - Country:US
Practice Address - Phone:612-252-1200
Practice Address - Fax:312-252-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management