Aunt Martha's Youth Service Center, Inc.

NPI #1487191540 in Kankakee, Illinois

Provider Information

NPI Number: 1487191540
Entity Type: Organization
Organization Name: Aunt Martha's Youth Service Center, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 27, 2017
Last Updated: Jan 27, 2017

Practice Location

Address: 1777 E COURT ST
Address 2: LOWER LEVEL
City: Kankakee
State: Illinois
ZIP Code: 60901-2670
Phone: (877) 692-8686

Authorized Official

Name: MARY MARTIN
Title: CHIEF FINANCIAL OFFICER
Phone: (708) 825-5976

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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