| Organization Name: | YOUTH SERVICE BUREAU OF ILLINIOS VALLEY |
| NPI Number: | 1609835461 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVE B MCCLURE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 424 W Madison St Ottawa |
| State: | IL US |
| Postal Code: | 613502833 |
| Phone Number: | 8154333953 |
| Fax Number: | 8154333980 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 07/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 28089904 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |