Youth Services Network
Case Management in Rockford, IL. Organization (NPI-2).
NPI number1790001600
StatusActive
Last updated in NPPESMay 24, 2015
Details
- NPI
- 1790001600
- Entity type
- Organization (NPI-2)
- Legal business name
- Youth Services Network
- Organization subpart
- No
- Enumeration date
- Apr 16, 2010
- Last updated
- May 24, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251B00000X | Case Management | 305692-06 | IL | Yes |
Practice location
107 N 3rd StRockford, IL 61107-4010
Phone 815-986-1947 · Fax 815-986-1954
Mailing address
107 N 3rd StRockford, IL 61107-4010
Phone 815-986-1947 · Fax 815-986-1954
Authorized official
Mary Ellen Commare
Executive Director
8159861947
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