| Aunt Martha's Youth Service Center | |
|
440 Forest Blvd Park Forest IL 60466-2002 | |
| (708) 747-7100 | |
| (708) 747-0710 |
| Full Name | Aunt Martha's Youth Service Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 440 Forest Blvd, Park Forest, Illinois |
| Authorized Official Name and Position | Audrey A Pennington (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 8776928686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Youth Service Center 440 Forest Blvd Park Forest IL 60466-2002 Ph: (708) 747-7100 |
| NPI Number | 1861637878 |
|---|---|
| Provider Enumeration Date | 12/04/2008 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861637878 | NPI | - | NPPES |
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