Organization
YOUTH OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO DIAZ (CLINICAL COUNSELOR)
(773) 205-3985
Entity
Organization
Contact information
Practice address
3445 N CENTRAL AVE, CHICAGO, IL 60634-4420
(773) 205-3985
Mailing address
3445 N CENTRAL AVE, CHICAGO, IL 60634-4420
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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