Organization
NORMAN C SLEEZER YOUTH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN R STATZ LCSW (EXECUTIVE DIRECTOR)
(815) 232-8336
Entity
Organization
Contact information
Practice address
1401 S SLEEZER HOME ROAD, FREEPORT, IL 61032
(815) 232-8336
(815) 232-8842
Mailing address
PO BOX 895, 1401 S SLEEZER HOME ROAD, FREEPORT, IL 61032
(815) 232-8336
(815) 232-8842
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2B05CHR046
—
IL
Enumeration date
03/29/2006
Last updated
07/21/2022
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