# LAWRENCE HALL YOUTH SERVICES

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

## Provider details

- **NPI number:** 1619393352
- **Authorized official:** MARK NUFER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (773) 728-2807

## Contact information

- **Practice address:** 59 PARK ROW, ELGIN, IL 60120-6525
- **Practice address phone:** (773) 728-2807
- **Mailing address:** 2737 W PETERSON AVE, CHICAGO, IL 60659-3927
- **Mailing address phone:** (773) 728-2807
- **Mailing address fax:** (773) 728-0751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 528318-01 | IL | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 528318-01 | IL | Yes |

## Other

- **Enumeration date:** 03/05/2014
- **Last updated:** 03/05/2014