Aunt Marthas Youth Service Center INC
NPI #1790825347 in Kankakee, Illinois
Provider Information
- NPI Number
- 1790825347
- Entity Type
- Organization
- Organization Name
- Aunt Marthas Youth Service Center INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Jul 21, 2022
Practice Location
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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