Organization
YOUTH SERVICES NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY ELLEN COMMARE LCPC (EXECUTIVE DIRECTOR)
(815) 986-1947
Entity
Organization
Contact information
Practice address
107 N 3RD ST, ROCKFORD, IL 61107-4010
(815) 986-1947
(815) 986-1954
Mailing address
107 N 3RD ST, ROCKFORD, IL 61107-4010
(815) 986-1947
(815) 986-1954
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
305692-06
IL
Other
Enumeration date
04/16/2010
Last updated
05/24/2015
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