Organization · Type 2 NPI

Aunt Marthas Youth Service Center, Inc

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

NPI number 1609124676 Active

Practice location

19990 Governors Hwy
Olympia Fields, IL 60461-1021

Mailing address

1301 Copperfield Ave, Suite 202
Joliet, IL 60432-2054

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 1609124676

Aunt Marthas Youth Service Center, Inc's National Provider Identifier is 1609124676, issued on Aug 24, 2012. 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 Feb 27, 2013.