AUNT MARTHAS YOUTH SERVICE CENTER, INC; NPI #1821346115

Contact Information

AUNT MARTHAS YOUTH SERVICE CENTER, INC

311 N OTTAWA ST
SUITE 1
JOLIET, IL 60432-4048

Phone: 708-747-7100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for AUNT MARTHAS YOUTH SERVICE CENTER, INC

NPI #	`1821346115`
LBN Legal business name	AUNT MARTHAS YOUTH SERVICE CENTER, INC
Authorized official	CHRISTOPHER NORDLOH - (CFO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/17/2012
Last updated	02/27/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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