| NPI | 1538453113 |
|---|---|
| Former Legal Business Name | OUTREACH YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | EDDIE J PHILLIPS Executive Director 773-840-4497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |