Organization
THE YOUTH CAMPUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH F LOFTUS (PRESIDENT & CEO)
(847) 823-5161
Entity
Organization
Contact information
Practice address
733 N PROSPECT AVE, PARK RIDGE, IL 60068-2764
(847) 823-5161
(847) 823-9291
Mailing address
733 N PROSPECT AVE, PARK RIDGE, IL 60068-2764
(847) 823-5161
(847) 823-9291
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
015787-10
IL
Other
Enumeration date
04/06/2006
Last updated
08/22/2020
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