Organization
DEVELOPING OUR YOUTH, NFP
Active
Organization
DEVELOPING OUR YOUTH, NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTRELL SUTTON MCKENZIE PHD (CONSULTANT)
(779) 267-1418
Entity
Organization
Contact information
Practice address
930 175TH ST STE 1W, HOMEWOOD, IL 60430-2078
(708) 269-0691
Mailing address
930 175TH ST STE 1W, HOMEWOOD, IL 60430-2078
(708) 269-0691
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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