Organization
AUNT MARTHA'S YOUTH SERVICE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY GARVEY (CFO)
(708) 754-1044
Entity
Organization
Contact information
Practice address
1941 SELMARTEN RD, AURORA, IL 60505-1337
(708) 754-1044
Mailing address
233 W JOE ORR RD, CHICAGO HEIGHTS, IL 60411-1744
(708) 754-1044
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
048
IL
Other
Enumeration date
08/04/2008
Last updated
07/21/2022
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