Organization
OUTREACH YOUTH & FAMILY SERVICES
Active
Organization
OUTREACH YOUTH & FAMILY SERVICES
Active
Other names
Outreach Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE J PHILLIPS (EXECUTIVE DIRECTOR)
(773) 840-4497
Entity
Organization
Contact information
Practice address
9443 S THROOP ST, CHICAGO, IL 60620-3625
(773) 840-4497
(773) 905-1369
Mailing address
9443 S THROOP ST, CHICAGO, IL 60620-3625
(773) 840-4497
(773) 905-1369
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
IL
251C00000X
Developmentally Disabled Services Day Training Agency
—
IL
251S00000X
Community/Behavioral Health Agency
—
IL
252Y00000X
Early Intervention Provider Agency
Primary
—
IL
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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