Organization
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BAUER LCSW (TREATMENT DIRECTOR)
(815) 433-3953
Entity
Organization
Contact information
Practice address
20 W CENTURY DR, PRINCETON, IL 61356-9051
(815) 433-3953
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 431-3051
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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