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Organization
THE DIVERSITY OF YOUTH CORP
Active
Organization
THE DIVERSITY OF YOUTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE TYEPTANAR (EXECUTIVE DIRECTOR)
(563) 564-0843
Entity
Organization
Contact information
Practice address
966 E 93RD ST, CHICAGO, IL 60619-7814
(563) 564-0843
Mailing address
14750 KEYSTONE AVE, MIDLOTHIAN, IL 60445-3332
(563) 564-0843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
01/05/2026
Last updated
02/09/2026
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