| Aunt Marthas Youth Service Ctr | |
|
233 W Joe Orr Rd Chicago Heights IL 60411-1744 | |
| (708) 754-1044 | |
| Not Available |
| Full Name | Aunt Marthas Youth Service Ctr |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 233 W Joe Orr Rd, Chicago Heights, Illinois |
| Authorized Official Name and Position | Gerald Garvey (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7087541044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Marthas Youth Service Ctr 440 Forest Blvd Park Forest IL 60466-2002 Ph: (708) 679-8000 | Aunt Marthas Youth Service Ctr 233 W Joe Orr Rd Chicago Heights IL 60411-1744 Ph: (708) 754-1044 |
| NPI Number | 1184826422 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184826422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 002 (Illinois) | Primary |
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