| Elite Youth And Family Services | |
|
15127 S 73rd Ave Orland Park IL 60462-4398 | |
| (708) 586-9608 | |
| Not Available |
| Full Name | Elite Youth And Family Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15127 S 73rd Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Tamara Denton (COUNSELING PSYCHOLOGIST) |
| Authorized Official Contact | 3123392740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Youth And Family Services 15127 S. 73rd Ave. C Orland Park IL 60462 Ph: (708) 586-9608 | Elite Youth And Family Services 15127 S 73rd Ave Orland Park IL 60462-4398 Ph: (708) 586-9608 |
| NPI Number | 1609259324 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609259324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21976 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 180.009481 (Illinois) | Primary |
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