Organization
OUTREACH YOUTH & FAMILY SERVICES
Active
Other names
Outreach Youth Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE J PHILLIPS (EXECUTIVE DIRECTOR)
(773) 840-4497
Entity
Organization
Contact information
Practice address
7041 S HALSTED ST, CHICAGO, IL 60621-1713
(773) 840-4497
(773) 905-1369
Mailing address
7041 S HALSTED ST, 9443 SO. THROOP, CHICAGO, IL 60621-1713
(773) 840-4497
(773) 905-1369
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
60716579
IL
251C00000X
Developmentally Disabled Services Day Training Agency
60716579
IL
252Y00000X
Early Intervention Provider Agency
60716579
IL
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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