Aunt Martha's Youth Service Center

NPI #1972705192 in Kankakee, Illinois

Provider Information

NPI Number: 1972705192
Entity Type: Organization
Organization Name: Aunt Martha's Youth Service Center
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Jun 1, 2007
Last Updated: Mar 8, 2017

Practice Location

Address: 1777 E COURT ST
Address 2: LOWER LEVEL
City: Kankakee
State: Illinois
ZIP Code: 60901-2670
Phone: (815) 937-5413

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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