Aunt Martha's Youth Service Center
NPI #1861637878 in Park Forest, Illinois
Provider Information
- NPI Number
- 1861637878
- Entity Type
- Organization
- Organization Name
- Aunt Martha's Youth Service Center
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Dec 4, 2008
- Last Updated
- Sep 15, 2022
Practice Location
- Address
- 440 FOREST BLVD
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-2002
- Phone
- (708) 747-7100
Authorized Official
- Name
- MRS. AUDREY A PENNINGTON
- Title
- CHIEF OPERATIONS OFFICER
- Phone
- (877) 692-8686
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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