Organization
KENNETH YOUNG CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN COWEN LCSW (CHIEF EXECUTIVE OFFICIER)
(847) 524-8800
Entity
Organization
Contact information
Practice address
2418 E HINTZ RD, ARLINGTON HEIGHTS, IL 60004-2268
(847) 524-8800
(847) 524-8824
Mailing address
1001 ROHLWING RD, ELK GROVE VILLAGE, IL 60007-3217
(847) 524-8800
(847) 524-8824
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004086
—
IL
Enumeration date
10/25/2016
Last updated
12/01/2016
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