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Organization
AUNT MARTHA'S YOUTH SERVICE CENTER
Active
Organization
AUNT MARTHA'S YOUTH SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J NORDLOH (CHIEF FINANCIAL OFFICER)
(708) 747-7100
Entity
Organization
Contact information
Practice address
191 W 155TH PL, HARVEY, IL 60426-3413
(708) 747-7100
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
12/02/2010
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