Youth Service Bureau Of Illinois Valley

LBN: Youth Service Bureau Of Illinois Valley
Youth Service Bureau Of Illinois Valley is an health care organization with primary practice located at 1702 1/2 W Peru St , Princeton IL 61356-8826. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Youth Service Bureau Of Illinois Valley can be contacted via phone (815) 872-2119, or through Gustafson, Lisa Kay via phone (815) 433-3953.

Contact Information

Primary practice address
1702 1/2 W Peru St Princeton IL 61356-8826
Phone: (815) 872-2119
Fax: (815) 872-2099
Website:
Map and Directions
Authorized official contact:
Name: Gustafson, Lisa Kay LCPC
Phone: (815) 433-3953

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1326357344
LBN Legal business name Youth Service Bureau Of Illinois Valley
DBA Doing business as
Authorized official Gustafson, Lisa Kay LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2010
Last updated Sep 20th, 2022 - about 3 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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