| Illinois Youth Advocate Program | |
|
191 W 155th Pl Harvey IL 60426-3413 | |
| (708) 596-6955 | |
| (708) 596-7464 |
| Full Name | Illinois Youth Advocate Program |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 191 W 155th Pl, Harvey, Illinois |
| Authorized Official Name and Position | Edward M. Farmer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7085966955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Youth Advocate Program 191 W 155th Pl Harvey IL 60426-3413 Ph: (708) 596-6955 | Illinois Youth Advocate Program 191 W 155th Pl Harvey IL 60426-3413 Ph: (708) 596-6955 |
| NPI Number | 1871662882 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871662882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 338374-06 (Illinois) | Primary |
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