Organization
AUNT MARTHA'S YOUTH SERVICE CENTER INC
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
718 N BRIDGE ST, YORKVILLE, IL 60560-1105
(630) 553-1400
(630) 553-9490
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
(708) 747-0710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/23/2009
Last updated
12/02/2010
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