Organization · Type 2 NPI
Aunt Marthas Youth Service Center Inc
Federally Qualified Health Center (FQHC) · Harvey, IL
NPI number
1184764730
Active
Practice location
159 E 154th St
Harvey, IL 60426-3325
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 029 (IL) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1184764730
Aunt Marthas Youth Service Center Inc's National Provider Identifier is 1184764730, issued on Feb 6, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Harvey, IL. The record was last updated on Jul 21, 2022.