Organization
AUNT MARTHA'S YOUTH SERVICE CENTER, INC
Active
Other names
Aunt Marthas Health and Outreach Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY PENNINGTON (EXEC. VP OF HEALTH)
(773) 802-7645
Entity
Organization
Contact information
Practice address
680 S RIVER ST, AURORA, IL 60506-5552
(877) 692-8686
(708) 747-8024
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
(708) 747-0710
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
11/02/2016
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