| NPI | 1841580016 |
|---|---|
| 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 | 251B00000X Case Management (Licence: IL 60716579) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: IL 60716579) |
| 252Y00000X Early Intervention Provider Agency (Licence: IL 60716579) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |