Organization · Type 2 NPI

Aunt Martha's Youth Service Center

Federally Qualified Health Center (FQHC) · Danville, IL

NPI number 1427508464 Active

Practice location

812 N Logan Ave
Danville, IL 61832-3752

Mailing address

19900 Governors Dr
Olympia Fields, IL 60461-1057

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1427508464

Aunt Martha's Youth Service Center's National Provider Identifier is 1427508464, issued on Oct 13, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Danville, IL. The record was last updated on Jan 13, 2017.