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Organization

YOUTH OUTREACH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE NOTO (EXECUTIVE DIRECTOR)
(773) 205-0474
Entity
Organization

Contact information

Practice address
4419 W NORTH AVE, MELROSE PARK, IL 60160-1021
(773) 777-7112
(708) 547-1091
Mailing address
2411 W CONGRESS PKWY, CHICAGO, IL 60612-3534
(773) 777-7112
(773) 777-7611

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0534-0011-A
IL

Other

Enumeration date
01/06/2010
Last updated
05/12/2025
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