NPI 1053555235

Aunt Martha's Youth Service Center, INC

Organisation Mental Illness Community Based Residential Treatment Facility Dolton, IL

Practice location

Address: 14449 Vanburen, Dolton, IL 60419
Phone: (708) 747-7100
Mailing address: 19990 Governors Hwy, Olympia Fields, IL 60461-1021

Authorised official

Name: Christopher J Nordloh
Title: Cfo
Phone: (708) 747-7100

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Illinois →

Registry record

NPI: 1053555235
Entity type: Organization
NPI issued: 1 May 2009
Record last updated: 3 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.