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YOUTH FARM INC NPI 1558330894


NPI Information

NPI: 1558330894
Provider Name: YOUTH FARM INC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
7225 PLANK RD
PEORIA, IL
ZIP 61604
Phone: (309) 697-4555
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YOUTH FARM INC is a community based residential treatment facility mental illness in Peoria, IL. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. YOUTH FARM INC NPI is 1558330894. The provider is registered as an organization entity type.

The provider's business location address is:

7225 PLANK RD
PEORIA, IL
ZIP 61604-296
Phone: (309) 697-4555
Fax: (309) 697-4033

The provider's authorized official is Jim Phillips .
The authorized official title is Executive Director and has the following contact phone number (309) 697-4555.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness02285710ILLINOISYes
2322D00000XResidential Treatment Facility, Emotionally Disturbed Children02285710ILLINOISX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.