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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
620 WING ST, ELGIN, IL 60123-2800
(847) 608-4250
(847) 468-7680
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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