NPI 1043855851
Youth Services Network
Practice location
- Address
- 107 N 3rd St, Rockford, IL 61107-4010
- Phone
- (815) 986-1947
- Fax
- (815) 986-1954
Authorised official
- Name
- Melissa Bucalo
- Title
- Administrative/Licensing Manager
- Phone
- (815) 986-1947
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1043855851
- Entity type
- Organization
- NPI issued
- 15 Nov 2019
- Record last updated
- 15 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.