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Youth Outreach Services
Substance Use Disorder Rehabilitation Clinic/Center in Chicago, Illinois
NPI 1770704579

Youth Outreach Services is a Substance Use Disorder Rehabilitation Clinic/Center based in Chicago, IL and is specialized in Rehabilitation, Substance Use Disorder. Youth Outreach Services practices in Chicago, IL. The NPI Number for Youth Outreach Services is 1770704579 and holds a License No. A-0534-0007-A (Illinois).

The current practice location address for Youth Outreach Services is 6417 W Irving Park Rd, Chicago, IL and can be reached out via phone at 773-777-7112 and via fax at 773-777-7611.

Location: 6417 W Irving Park Rd, Chicago, IL, 60612-3534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770704579
Provider Name
Youth Outreach Services
Credential
Provider Entity Type
Organization
Address
6417 W Irving Park Rd, Chicago, IL, 60612-3534
Phone Number
773-777-7112
Fax Number
773-777-7611
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6417 W Irving Park Rd
City
Chicago
State
Illinois
Zip
60634-2437
Phone Number
773-777-7112
Fax Number
773-777-7611
person
Provider Business Mailing Address Details
Address
6417 W Irving Park Rd
City
Chicago
State
Illinois
Zip
60634-2437
Phone Number
773-777-7112
Fax Number
773-777-7611
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
A-0534-0007-A (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
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
A-0534-0007-A (Illinois)
Definition
Definition to come...
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