Aunt Martha'S Youth Service Center in Kankakee - Rehabilitation, Substance Use Disorder
Aunt Martha'S Youth Service Center - NPI 1972705192
Aunt Martha'S Youth Service Center is a Rehabilitation, Substance Use Disorder in Kankakee, Illinois. Aunt Martha'S Youth Service Center practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Aunt Martha'S Youth Service Center is 1972705192. The last update date is 2017-03-08.
Aunt Martha'S Youth Service Center's current location address is 1777 E Court St, Kankakee, Illinois. You can contact this provider via phone number 8159375413. The mailing address for Aunt Martha'S Youth Service Center is 1777 E Court St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aunt Martha'S Youth Service Center |
|---|---|
| Address | 1777 E Court St, Kankakee, Illinois |
| Phone Number | 8159375413 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Martin Mary |
| Telephone Number | 7088255976 |
NPI Number Detail
| NPI Number | 1972705192 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2017-03-08 |
Provider Mailing Address Detail
| Address | 1777 E Court St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609012670 |
| Phone Number | 8159375413 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
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Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
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Post Comment/ Review Below
What is the Aunt Martha'S Youth Service Center's 1972705192?
The Aunt Martha'S Youth Service Center's NPI (National Provider Identifier) Number is 1972705192. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Aunt Martha'S Youth Service Center?
The Aunt Martha'S Youth Service Center is physically situated at 1777 E Court St, in the city of Kankakee, state of IL, with the postal code 609012670.
What is Aunt Martha'S Youth Service Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Aunt Martha'S Youth Service Center's specialized field of practice is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
When did Aunt Martha'S Youth Service Center receive its 1972705192 assignment?
The Aunt Martha'S Youth Service Center was assigned its 1972705192 on 2007-06-01, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Aunt Martha'S Youth Service Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Aunt Martha'S Youth Service Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-08.
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