Organization · Type 2 NPI

Aunt Martha's Youth Service Center, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center) · Kankakee, IL

NPI number 1487191540 Active

Practice location

1777 E Court St, Lower Level
Kankakee, IL 60901-2670

Mailing address

19990 Governors Hwy
Olympia Fields, IL 60461-1021

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1487191540

Aunt Martha's Youth Service Center, Inc.'s National Provider Identifier is 1487191540, issued on Jan 27, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Kankakee, IL. The record was last updated on Jan 27, 2017.