Aunt Martha'S Youth Service Center in Olympia Fields - Community/behavioral Health
Aunt Martha'S Youth Service Center - NPI 1720258619
Aunt Martha'S Youth Service Center is a Community/behavioral Health in Olympia Fields, Illinois. Aunt Martha'S Youth Service Center practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Aunt Martha'S Youth Service Center is 1720258619. The last update date is 2010-12-02.
Aunt Martha'S Youth Service Center's current location address is 19990 Governors Hwy, Olympia Fields, Illinois. You can contact this provider via phone number 7087477100. The mailing address for Aunt Martha'S Youth Service Center is 19990 Governors Hwy, Olympia Fields, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aunt Martha'S Youth Service Center |
|---|---|
| Address | 19990 Governors Hwy, Olympia Fields, Illinois |
| Phone Number | 7087477100 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Nordloh J Christopher |
| Telephone Number | 7087477100 |
NPI Number Detail
| NPI Number | 1720258619 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2010-12-02 |
Provider Mailing Address Detail
| Address | 19990 Governors Hwy |
|---|---|
| City | Olympia Fields |
| State | Illinois (IL) |
| Post Code | 604611021 |
| Phone Number | 7087477100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Aunt Martha'S Youth Service Center by the Centers for Medicare & Medicaid Services?
The Aunt Martha'S Youth Service Center has been issued the NPI (National Provider Identifier) 1720258619 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Aunt Martha'S Youth Service Center is physically located?
The Aunt Martha'S Youth Service Center is physically situated at the following address: 19990 Governors Hwy, Olympia Fields, IL, 604611021.
What is Aunt Martha'S Youth Service Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Aunt Martha'S Youth Service Center's area of specialization is Community/behavioral Health, and the corresponding taxonomy code that categorizes this field of practice is 251S00000X.
On what date did the Aunt Martha'S Youth Service Center receive the assignment of its 1720258619 from the Centers for Medicare & Medicaid Services?
The Aunt Martha'S Youth Service Center was issued its 1720258619 by the Centers for Medicare & Medicaid Services on 2008-03-06.
When was the information regarding Aunt Martha'S Youth Service Center, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Aunt Martha'S Youth Service Center, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-12-02.