Organization
VETERAN YOUTH CORP
Active
Other names
Counseling First
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BARRY (VICE-PRESIDENT)
(312) 469-0714
Entity
Organization
Contact information
Practice address
4750 N SHERIDAN RD, SUITE 207, CHICAGO, IL 60640-7528
(312) 620-0896
Mailing address
4750 N SHERIDAN RD, SUITE 207, CHICAGO, IL 60640-7528
(312) 620-0896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-2586-0001-A
IL
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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