# THE DIVERSITY OF YOUTH CORP

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

## Provider details

- **NPI number:** 1588520431
- **Authorized official:** GABRIELLE TYEPTANAR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (563) 564-0843

## Contact information

- **Practice address:** 966 E 93RD ST, CHICAGO, IL 60619-7814
- **Practice address phone:** (563) 564-0843
- **Mailing address:** 14750 KEYSTONE AVE, MIDLOTHIAN, IL 60445-3332
- **Mailing address phone:** (563) 564-0843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 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