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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUNT MARTHA'S YOUTH SERVICE CENTER, INC

Active Organization

AUNT MARTHA'S YOUTH SERVICE CENTER, INC is a Federally Qualified Health Center organization located in PARK FOREST, Illinois. NPI 1780828962 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · PARK FOREST, IL

Registration Details

NPI Number
1780828962
Provider Type
Organization
NPI Issued
May 1, 2009 (17.332753097795 yrs)
Last Updated
Dec 2, 2010

Practice Information

Address
23485 WESTERN AVE
PARK FOREST, IL, 604662609
Browse IL providers · Browse ZIP 60466
Phone
7087477100
Primary Specialty
Federally Qualified Health Center
261QF0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.