Aunt Marthas Youth Service Center INC

NPI #1356481899 in Aurora, Illinois

Provider Information

NPI Number
1356481899
Entity Type
Organization
Organization Name
Aunt Marthas Youth Service Center INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 7, 2007
Last Updated
Nov 2, 2016

Practice Location

Address
2124 OGDEN AVE
City
Aurora
ZIP Code
60504-7595
Phone
(877) 692-8686

Authorized Official

Name
AUDREY PENNINGTON
Title
EXEC. VP OF HEALTH
Phone
(773) 802-7645

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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