Organization · Type 2 NPI

Aunt Martha's Youth Service Center

Substance Use Disorder Rehabilitation Clinic/Center · Kankakee, IL

NPI number 1972705192 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
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1972705192

Aunt Martha's Youth Service Center's National Provider Identifier is 1972705192, issued on Jun 1, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Kankakee, IL. The record was last updated on Mar 8, 2017.