360 Youth Services
Counselor, Professional in Naperville, IL. Organization (NPI-2).
NPI number1336690239
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1336690239
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Youth Services
- Organization subpart
- No
- Enumeration date
- Oct 17, 2016
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180010400 | IL | Yes |
Practice location
1548 Bond St Ste 114Naperville, IL 60563-6509
Phone 630-717-9408 · Fax 630-596-8496
Mailing address
1548 Bond St Ste 114Naperville, IL 60563-6509
Phone 630-717-9408 · Fax 630-596-8496
Authorized official
Jessica Kujawa
Biller
6305417219
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