Organization · Type 2 NPI
Aunt Martha's Youth Service Center
Federally Qualified Health Center (FQHC) · Calumet City, IL
NPI number
1851626089
Active
Practice location
755 Pulaski Rd
Calumet City, IL 60409-4030
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
Other federally qualified health center (fqhc) providers in Calumet City
About NPI 1851626089
Aunt Martha's Youth Service Center's National Provider Identifier is 1851626089, issued on Oct 6, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Calumet City, IL. The record was last updated on Dec 2, 2010.