Youth Farm Inc

LBN: Youth Farm Inc
Youth Farm Inc is an health care organization with primary practice located at 7225 Plank Rd , Peoria IL 61604-5296. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness is the primary health care specialty. Youth Farm Inc can be contacted via phone (309) 697-4555, or through Phillips, Jim via phone (309) 697-4555.

Contact Information

Primary practice address
7225 Plank Rd Peoria IL 61604-5296
Phone: (309) 697-4555
Fax: (309) 697-4033
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jim MDIV PHD LCPC
Phone: (309) 697-4555

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 02285710 Illinois
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 02285710 Illinois

Profile Details

NPI number 1558330894
LBN Legal business name Youth Farm Inc
DBA Doing business as
Authorized official Phillips, Jim MDIV PHD LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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