# KENNETH YOUNG CENTER

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

## Provider details

- **NPI number:** 1932533841
- **Authorized official:** MR. JAMES BRUSKI (HUMAN RESOURCES MANAGER)
- **Authorized official phone:** (847) 524-8800

## Contact information

- **Practice address:** 1585 DEMPSTER ST, MYERS PLACE SUITE 113, MOUNT PROSPECT, IL 60056-4978
- **Practice address phone:** (847) 524-8800
- **Practice address fax:** (847) 524-8824
- **Mailing address:** 1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
- **Mailing address phone:** (847) 524-8800
- **Mailing address fax:** (847) 524-8824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 201209 | IL | Yes |

## Other

- **Enumeration date:** 08/27/2013
- **Last updated:** 08/16/2017