Organization
360 YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGOT SMITH (CLINICAL DIRECTOR)
(630) 717-9408
Entity
Organization
Contact information
Practice address
1935 BROOKDALE RD STE 119, NAPERVILLE, IL 60563-3034
(630) 717-9408
Mailing address
1935 BROOKDALE RD STE 119, NAPERVILLE, IL 60563-3034
(630) 717-9408
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180009446
IL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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