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Youth Service Bureau Of Illinois Valley
Mental Health Clinic/Center (Including Community Mental Health Center) in Ottawa, Illinois
NPI 1164757266

Youth Service Bureau Of Illinois Valley is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Ottawa, IL and is specialized in Mental Health (Including Community Mental Health Center). Youth Service Bureau Of Illinois Valley practices in Ottawa, IL. The NPI Number for Youth Service Bureau Of Illinois Valley is 1164757266 and holds a License No. 149.013808 (Illinois).

The current practice location address for Youth Service Bureau Of Illinois Valley is 424 W Madison St, Ottawa, IL and can be reached out via phone at 815-433-3953 and via fax at 815-433-3980.

Location: 424 W Madison St, Ottawa, IL, 61350-2833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164757266
Provider Name
Youth Service Bureau Of Illinois Valley
Credential
Provider Entity Type
Organization
Address
424 W Madison St, Ottawa, IL, 61350-2833
Phone Number
815-433-3953
Fax Number
815-433-3980
Provider Enumeration Date
10/07/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149.013808 01 IL LICENSED CLINICAL SOCIAL WORKER
institution
Provider Business Practice Location Address Details
Address
424 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2833
Phone Number
815-433-3953
Fax Number
815-433-3980
person
Provider Business Mailing Address Details
Address
424 W Madison St
City
Ottawa
State
Illinois
Zip
61350-2833
Phone Number
815-433-3953
Fax Number
815-433-3980
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1041C0700X (Illinois)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
149.013808 (Illinois)
Definition
Definition to come...
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