| Haven Youth And Family Services | |
|
825 Green Bay Rd Suite 200 Wilmette IL 60091-2597 | |
| (847) 251-6630 | |
| (815) 521-1889 |
| Full Name | Haven Youth And Family Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 825 Green Bay Rd, Wilmette, Illinois |
| Authorized Official Name and Position | Charley Smith (DIRECTOR) |
| Authorized Official Contact | 8472516630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Youth And Family Services Po Box 613 Channahon IL 60410-0613 Ph: (815) 521-1889 | Haven Youth And Family Services 825 Green Bay Rd Suite 200 Wilmette IL 60091-2597 Ph: (847) 251-6630 |
| NPI Number | 1164864302 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164864302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 149013375 (Illinois) | Primary |
| 1041C0700X | Social Worker - Clinical | (Illinois) | Secondary |
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