Organization
YOUTH CROSSROADS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE DICESARE MA (EXECUTIVE DIRECTOR)
(708) 484-7400
Entity
Organization
Contact information
Practice address
6501 STANLEY AVE, BERWYN, IL 60402-3123
(708) 484-7400
Mailing address
6501 STANLEY AVE, BERWYN, IL 60402-3123
(708) 484-7400
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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