# NORMAN C SLEEZER YOUTH HOME

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043271190
- **Authorized official:** MRS. SUSAN R STATZ LCSW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (815) 232-8336

## Contact information

- **Practice address:** 1401 S SLEEZER HOME ROAD, FREEPORT, IL 61032
- **Practice address phone:** (815) 232-8336
- **Practice address fax:** (815) 232-8842
- **Mailing address:** PO BOX 895, 1401 S SLEEZER HOME ROAD, FREEPORT, IL 61032
- **Mailing address phone:** (815) 232-8336
- **Mailing address fax:** (815) 232-8842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 001 | IL | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 07/21/2022