Aunt Martha's Youth Service Center, INC

NPI #1427292788 in Riverdale, Illinois

Provider Information

NPI Number
1427292788
Entity Type
Organization
Organization Name
Aunt Martha's Youth Service Center, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 29, 2009
Last Updated
Dec 2, 2010

Practice Location

Address
14424 S WENTWORTH AVE
ZIP Code
60827-2729
Phone
(708) 747-7100

Authorized Official

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

Specialties & Taxonomy Codes

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

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