NPI: 1063767010
Provider Name: OUTREACH YOUTH & FAMILY SERVICES
Doing Business As: OUTREACH YOUTH & FAMILY SERVICES
Classification: Respite Care - 385HR2060X
Entity Type: Organization
Specialization: Respite Care, Intellectual and/or Developmental Disabilities
Address:
9443 S THROOP ST
CHICAGO, IL
ZIP 60620
Phone: (773) 840-4497
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OUTREACH YOUTH & FAMILY SERVICES is a respite care and mental retardation and/or developmental disabilities respite care in Chicago, IL. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. OUTREACH YOUTH & FAMILY SERVICES NPI is 1063767010. The provider is registered as an organization entity type.
The provider Is Doing Business As Outreach Youth & Family Services.
The provider's business location address is:
9443 S THROOP ST
CHICAGO, IL
ZIP 60620-625
Phone: (773) 840-4497
Fax: (773) 905-1369
The provider's authorized official is Eddie J. Phillips .
The authorized official title is President & Executive Director and has the following contact phone number (773) 840-4497.
The enumeration date for this NPI number is 7/16/2012 and was last updated on 7/21/2022.