Aunt Marthas Youth Service Ctr

Organization Active NPI Addiction (Substance Use Disorder) Counselor · Chicago Heights, IL

NPI 1184826422 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1184826422
Entity type
Organization (NPI type 2)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
002 (IL)
Legal business name
AUNT MARTHAS YOUTH SERVICE CTR
Practice address
233 W Joe Orr Rd
Chicago Heights, IL 60411-1744
Phone
(708) 754-1044
NPI assigned
May 31, 2007
Organization subpart
No

Authorized official

Name
Mr. Gerald Garvey
Title
Chief Financial Officer
Phone
(708) 754-1044

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aunt Marthas (74 organizations share this tax ID)

Locations

440 Forest Blvd
Park Forest, IL 60466
Phone (708) 252-8421

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X 002 IL Yes

Addresses

Primary practice location

233 W Joe Orr Rd
Chicago Heights, IL 60411-1744

Mailing address

440 Forest Blvd
Park Forest, IL 60466-2002
Phone (708) 679-8000

Other providers in Chicago Heights, IL

All providers in Chicago Heights, IL · Addiction (Substance Use Disorder) Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.