Organization
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Active
Parent organization
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Other names
Youth Service Bureau of Illinois Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Authorized official
STEPHANIE ROSALES (CLINICAL ADM ASST)
(815) 433-3953
Entity
Organization
Contact information
Practice address
4231 PROGRESS BLVD STE 1, PERU, IL 61354-1193
(815) 433-3953
(815) 433-3980
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
09/20/2022
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