360 Youth Services

NPI 1396020640 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1396020640
Enumeration Date 10/19/2011
Last Updated 11/15/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RONALD C. RONALD
Position EXECUTIVE DIRECTOR
Phone (630) 717-9408
Fax (630) 778-9490
Practice Location
1935 BROOKDALE RD
SUITE 119
NAPERVILLE IL, 60563-2771, US
Phone (630) 717-9408
Fax (630) 778-9490
Business Location
1935 BROOKDALE RD
SUITE 119
NAPERVILLE IL, 60563-2771, US
Phone (630) 717-9408
Fax (630) 778-9490
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1396020640 NPI Number
 

According to our database, 360 Youth Services NPI is 1396020640, taxonomy code is 251S00000X 360 Youth Services physically located at 1935 Brookdale Rd, Naperville IL, 60563-2771. NPI Number 1033115704 has the healthcare provider type.

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1396020640 NPI number is provided on an as is basis without warranty of any kind. 1396020640 is maintained by the National Plan & Provider Enumeration System. The contents of 360 Youth Services are for informational purposes only.