Organization · Type 2 NPI
Aunt Martha's Youth Service Center, Inc
Mental Illness Community Based Residential Treatment Facility · Burnham, IL
NPI number
1629212980
Active
Practice location
14046 S Calhoun Ave
Burnham, IL 60633-2138
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
About NPI 1629212980
Aunt Martha's Youth Service Center, Inc's National Provider Identifier is 1629212980, issued on Apr 29, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Burnham, IL. The record was last updated on Dec 3, 2010.