| Aunt Martha's Youth Service Center In | |
|
409 W Jefferson St Joliet IL 60435-7415 | |
| (815) 768-8750 | |
| (815) 722-1917 |
| Full Name | Aunt Martha's Youth Service Center In |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 409 W Jefferson St, Joliet, Illinois |
| Authorized Official Name and Position | Christopher J Nordloh (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7087477100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center In 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Youth Service Center In 409 W Jefferson St Joliet IL 60435-7415 Ph: (815) 768-8750 |
| NPI Number | 1548594088 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548594088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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