| Aunt Martha's Youth Service Center, Inc | |
|
15020 Cicero Ave Suite D Oak Forest IL 60452-1441 | |
| (708) 535-2934 | |
| (708) 535-0851 |
| Full Name | Aunt Martha's Youth Service Center, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15020 Cicero Ave, Oak Forest, Illinois |
| Authorized Official Name and Position | Christopher J Nordloh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7087477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center, Inc 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Youth Service Center, Inc 15020 Cicero Ave Suite D Oak Forest IL 60452-1441 Ph: (708) 535-2934 |
| NPI Number | 1902130248 |
|---|---|
| Provider Enumeration Date | 09/18/2009 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902130248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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