Organization · Type 2 NPI
Aunt Martha's Youth Service Center
Federally Qualified Health Center (FQHC) · Blue Island, IL
NPI number
1174070676
Active
Practice location
12139 S. Western Ave
Blue Island, IL 60406
Mailing address
19900 Governors Dr
Olympia Fields, IL 60461-1057
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Blue Island
About NPI 1174070676
Aunt Martha's Youth Service Center's National Provider Identifier is 1174070676, issued on Sep 1, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Blue Island, IL. The record was last updated on Jan 13, 2017.