Youth Service Bureau of Illinios Valley

NPI #1831917095 in Streator, Illinois

Provider Information

NPI Number: 1831917095
Entity Type: Organization
Organization Name: Youth Service Bureau of Illinios Valley
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 27, 2024
Last Updated: Sep 27, 2024

Practice Location

Address: 205 PRATT ST
City: Streator
State: Illinois
ZIP Code: 61364-2797
Phone: (815) 665-0012

Authorized Official

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

Specialties & Taxonomy Codes

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

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