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Aunt Martha'S Youth Service Center, Inc

Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Park Forest, IL

NPI 1316181597 · NPPES record last updated Dec 3, 2010

Key facts

NPI
1316181597
Entity type
Organization (NPI type 2)
Primary specialty
Mental Illness Community Based Residential Treatment Facility 320800000X
Legal business name
AUNT MARTHA'S YOUTH SERVICE CENTER, INC
Practice address
101 Wolpers Rd
Park Forest, IL 60466
Phone
(708) 747-7100
NPI assigned
May 1, 2009
Organization subpart
No

Authorized official

Name
Mr. Christopher J Nordloh
Title
Cfo
Phone
(708) 747-7100

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)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Yes

Addresses

Primary practice location

101 Wolpers Rd
Park Forest, IL 60466

Mailing address

19990 Governors Hwy
Olympia Fields, IL 60461-1021
Phone (708) 747-7100

Other providers in Park Forest, IL

All providers in Park Forest, IL · Mental Illness Community Based Residential Treatment Facility in Illinois

Sources for this page

Verify at the official NPI Registry.