Organization
AUNT MARTHA'S YOUTH SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J NORDLOH (CFO)
(708) 747-7100
Entity
Organization
Contact information
Practice address
15020 CICERO AVE, SUITE D, OAK FOREST, IL 60452-1441
(708) 535-2934
(708) 535-0851
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
12/02/2010
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