Aunt Marthas Youth Service Center

NPI #1225080922 in Olympia Fields, Illinois

Provider Information

NPI Number
1225080922
Entity Type
Organization
Organization Name
Aunt Marthas Youth Service Center
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 17, 2006
Last Updated
Dec 2, 2010

Practice Location

Address
19990 GOVERNORS HWY
ZIP Code
60461-1021
Phone
(708) 747-7100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Case Management
Day Training, Developmentally Disabled Services
Public Health or Welfare
Nursing Care
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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