Organization
AUNT MARTHA'S YOUTH SERVICE CENTER IN
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
409 W JEFFERSON ST, JOLIET, IL 60435-7415
(815) 768-8750
(815) 722-1917
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
10/01/2009
Last updated
12/02/2010
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