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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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