Organization · Type 2 NPI
Aunt Martha's Youth Service Center, Inc
Mental Illness Community Based Residential Treatment Facility · Dolton, IL
NPI number
1053555235
Active
Practice location
14449 Vanburen
Dolton, IL 60419
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1053555235
Aunt Martha's Youth Service Center, Inc's National Provider Identifier is 1053555235, issued on May 1, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Dolton, IL. The record was last updated on Dec 3, 2010.