Organization
OUTREACH YOUTH & FAMILY SERVICES
Active
Other names
Outreach Youth & Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE J. PHILLIPS (PRESIDENT & EXECUTIVE DIRECTOR)
(773) 840-4497
Entity
Organization
Contact information
Practice address
9443 S THROOP ST, CHICAGO, IL 60620-3625
(773) 840-4497
(773) 905-1369
Mailing address
9443 S THROOP ST, CHICAGO, IL 60620-3625
(773) 840-4497
(773) 905-1369
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
—
IL
385HR2055X
Child Mental Illness Respite Care
—
IL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
IL
Other
Enumeration date
07/16/2012
Last updated
07/21/2022
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