| Developing Our Youth, Nfp | |
|
930 175th St Ste 1w Homewood IL 60430-2078 | |
| (708) 269-0691 | |
| Not Available |
| Full Name | Developing Our Youth, Nfp |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 930 175th St Ste 1w, Homewood, Illinois |
| Authorized Official Name and Position | Shantrell Sutton Mckenzie (CONSULTANT) |
| Authorized Official Contact | 7792671418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developing Our Youth, Nfp 930 175th St Ste 1w Homewood IL 60430-2078 Ph: (708) 269-0691 | Developing Our Youth, Nfp 930 175th St Ste 1w Homewood IL 60430-2078 Ph: (708) 269-0691 |
| NPI Number | 1508795113 |
|---|---|
| Provider Enumeration Date | 05/18/2026 |
| Last Update Date | 05/18/2026 |
| Certification Date | 05/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508795113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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