Organization
KENNETH YOUNG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BRUSKI (HUMAN RESOURCES MANAGER)
(847) 524-8800
Entity
Organization
Contact information
Practice address
1585 DEMPSTER ST, SUITE 110, MOUNT PROSPECT, IL 60056-4978
(847) 524-8800
(847) 524-8824
Mailing address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-8824
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
201209
IL
Other
Enumeration date
11/20/2014
Last updated
08/16/2017
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