Youth Service Bureau of Illinios Valley

NPI #1124748546 in Peru, Illinois

Provider Information

NPI Number: 1124748546
Entity Type: Organization
Organization Name: Youth Service Bureau of Illinios Valley
Subpart: Yes (part of a larger organization)
Parent Organization: YOUTH SERVICE BUREAU OF ILLINIOS VALLEY
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 29, 2022
Last Updated: Sep 20, 2022

Practice Location

Address: 4231 PROGRESS BLVD STE 1
City: Peru
State: Illinois
ZIP Code: 61354-1193
Phone: (815) 433-3953

Authorized Official

Name: STEPHANIE ROSALES
Title: CLINICAL ADM ASST
Phone: (815) 433-3953

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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