Youth Service Bureau of Illinois Valley

NPI #1326357344 in Princeton, Illinois

Provider Information

NPI Number: 1326357344
Entity Type: Organization
Organization Name: Youth Service Bureau of Illinois Valley
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 27, 2010
Last Updated: Sep 20, 2022

Practice Location

Address: 1702 1/2 W PERU ST
City: Princeton
State: Illinois
ZIP Code: 61356-8826
Phone: (815) 872-2119

Authorized Official

Name: MS. LISA KAY GUSTAFSON, LCPC
Title: TREATMENT COORDINATOR
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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Youth Service Bureau of Illinios Valley	Clinic/Center - Mental Health (Including Community Mental Health Center)	Princeton	AI Deep Dive
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