OrganizationActive
Youth Outreach Services
NPI 1811227341 · Substance Use Disorder Rehabilitation Clinic/Center · Melrose Park, IL
Provider details
- NPI number
- 1811227341
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Noto, Executive Director(773) 205-0474
- License
- A-0534-0011-A (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4419 W North Ave
Melrose Park, IL 60160-1021
Phone: (773) 777-7112
Fax: (708) 547-1091
Approximate (ZIP-level) locationGet directions
Mailing address
2411 W Congress Pkwy
Chicago, IL 60612-3534
Registry dates
- Enumerated
- 2010-01-06
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.