Aunt Martha's Youth Service Center, INC
NPI #1356585616 in Park Forest, Illinois
Provider Information
- NPI Number
- 1356585616
- Entity Type
- Organization
- Organization Name
- Aunt Martha's Youth Service Center, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 29, 2009
- Last Updated
- Dec 3, 2010
Practice Location
- Address
- 175 INDIANWOOD BLVD
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2034
- 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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