Youth Outreach Services in Chicago - Rehabilitation, Substance Use Disorder
Youth Outreach Services - NPI 1770704579
Youth Outreach Services is a Rehabilitation, Substance Use Disorder in Chicago, Illinois. Youth Outreach Services practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Youth Outreach Services is 1770704579. The last update date is 2017-10-17.
Youth Outreach Services's current location address is 2411 W Congress Pkwy, Chicago, Illinois. You can contact this provider via phone number 7737777112 and fax number 7737777611. The mailing address for Youth Outreach Services is 2411 W Congress Pkwy, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Youth Outreach Services |
|---|---|
| Address | 2411 W Congress Pkwy, Chicago, Illinois |
| Phone Number | 7737777112 |
| Fax Number | 7737777611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Velasquez Rick |
| Credentials | MSW |
| Telephone Number | 7737777112 |
NPI Number Detail
| NPI Number | 1770704579 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2017-10-17 |
Provider Mailing Address Detail
| Address | 2411 W Congress Pkwy |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123534 |
| Phone Number | 7737777112 |
| Fax Number | 7737777611 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
| Licence No | A-0534-0007- |
|
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
|
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What is the Youth Outreach Services's unique identification number?
The Youth Outreach Services has been assigned the NPI (National Provider Identifier) Number 1770704579 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Youth Outreach Services's facilities are situated?
The facilities of Youth Outreach Services are physically located at the following address: 2411 W Congress Pkwy, Chicago, IL, 606123534.
What is Youth Outreach Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Youth Outreach Services's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
On what date did Youth Outreach Services receive its 1770704579 assignment from the Centers for Medicare & Medicaid Services?
The Youth Outreach Services was assigned its 1770704579 on 2007-05-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Youth Outreach Services most recently updated?
The details pertaining to the Youth Outreach Services, including its address, specialty, and other relevant information, were last refreshed on 2017-10-17.
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