Organization · Type 2 NPI

Aunt Marthas Youth Service Center

Federally Qualified Health Center (FQHC) · Olympia Fields, IL

NPI number 1225080922 Active

Practice location

19990 Governors Hwy
Olympia Fields, IL 60461-1021

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Developmentally Disabled Services Day Training Agency 251C00000XNone listed
Nursing Care Agency 251J00000XNone listed
Public Health or Welfare Agency 251K00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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About NPI 1225080922

Aunt Marthas Youth Service Center's National Provider Identifier is 1225080922, issued on May 17, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Olympia Fields, IL. The record was last updated on Dec 2, 2010.