Organization
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Active
Other names
Aunt Martha's Peoria Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AUDREY PENNINGTON (COO)
(773) 802-7645
Entity
Organization
Contact information
Practice address
420 NE GLEN OAK AVE FL 1, PEORIA, IL 61603-3106
(877) 692-8686
(708) 747-8024
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(877) 692-8686
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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