| Aunt Martha's Adapt | |
|
1777 E Court St Lower Level Kankakee IL 60901-2670 | |
| (877) 692-8686 | |
| Not Available |
| Full Name | Aunt Martha's Adapt |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1777 E Court St, Kankakee, Illinois |
| Authorized Official Name and Position | Mary Martin (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7088255976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Adapt 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (877) 692-8686 | Aunt Martha's Adapt 1777 E Court St Lower Level Kankakee IL 60901-2670 Ph: (877) 692-8686 |
| NPI Number | 1487191540 |
|---|---|
| Provider Enumeration Date | 01/27/2017 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487191540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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