Youth Service Bureau of Illinois Valley
Youth Service Bureau of Illinois Valley is a Community/Behavioral Health Agency in Aurora, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1700 N Farnsworth Ave Ste 18Aurora, IL 60505-1186
Phone: (630) 820-6303
Fax: (630) 820-6306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 1041C0700X (IL) |
Record details
| NPI number | 1750626966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lisa Gustafson — Treatment Coordinator · (815) 433-3953 |
| NPI enumerated | November 29, 2012 |
| Last updated in NPPES | September 20, 2022 |
| Certification date | September 20, 2022 |
| Mailing address | 424 W Madison St, Ottawa, IL 61350-2833 |
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