Organization
COMMUNITY YOUTH NETWORK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SEABERT RHIT (BILLING/CREDENTIALING SPECIALIST)
(847) 548-6000
Entity
Organization
Contact information
Practice address
18640 W IL ROUTE 120, GRAYSLAKE, IL 60030
(847) 548-6000
(847) 548-6040
Mailing address
18640 W IL ROUTE 120, GRAYSLAKE, IL 60030
(847) 548-6000
(847) 548-6040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
149001053
IL
251S00000X
Community/Behavioral Health Agency
5138-995-6
IL
Other
Enumeration date
03/08/2007
Last updated
07/18/2025
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