Aunt Martha's Youth Service Center, INC

NPI #1053555235 in Dolton, Illinois

Provider Information

NPI Number
1053555235
Entity Type
Organization
Organization Name
Aunt Martha's Youth Service Center, INC
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
May 1, 2009
Last Updated
Dec 3, 2010

Practice Location

Address
14449 VANBUREN
City
Dolton
ZIP Code
60419
Phone
(708) 747-7100

Authorized Official

Name
MR. CHRISTOPHER J NORDLOH
Title
CFO
Phone
(708) 747-7100

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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