Organization
YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROSALES (CLINICAL ASSISTANT)
(815) 433-3953
Entity
Organization
Contact information
Practice address
205 PRATT ST, STREATOR, IL 61364-2797
(815) 665-0012
Mailing address
424 W MADISON ST, OTTAWA, IL 61350-2833
(815) 433-3953
(815) 433-3980
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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