# YOUTH FARM INC

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

## Provider details

- **NPI number:** 1558330894
- **Authorized official:** MR. JIM PHILLIPS MDIV PHD LCPC (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (309) 697-4555

## Contact information

- **Practice address:** 7225 PLANK RD, PEORIA, IL 61604-5296
- **Practice address phone:** (309) 697-4555
- **Practice address fax:** (309) 697-4033
- **Mailing address:** 7225 PLANK RD, PEORIA, IL 61604-5296
- **Mailing address phone:** (309) 697-4555
- **Mailing address fax:** (309) 697-4033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | 02285710 | IL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 02285710 | IL | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 09/11/2025