NPI 1063767010

Outreach Youth & Family Services

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Chicago, IL

Practice location

Address: 9443 S Throop St, Chicago, IL 60620-3625
Phone: (773) 840-4497
Fax: (773) 905-1369

Authorised official

Name: Eddie J. Phillips
Title: President & Executive Director
Phone: (773) 840-4497

Registered specialties (3)

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X

Other Respite Care providers in Illinois →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

Other Preferred Provider Organization providers in Illinois →

Child Mental Illness Respite Care

Respite Care Facility Taxonomy 385HR2055X

Registry record

NPI: 1063767010
Entity type: Organization
NPI issued: 16 Jul 2012
Record last updated: 21 Jul 2022

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.