Aunt Martha'S Youth Service Center

LBN: Aunt Martha'S Youth Service Center
Aunt Martha'S Youth Service Center is an health care organization with primary practice located at 440 Forest Blvd , Park Forest IL 60466-2002. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Aunt Martha'S Youth Service Center can be contacted via phone (708) 747-7100, or through Pennington, Audrey A via phone (877) 692-8686.

Contact Information

Primary practice address
440 Forest Blvd Park Forest IL 60466-2002
Phone: (708) 747-7100
Fax: (708) 747-0710
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Audrey A
Phone: (877) 692-8686

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1861637878
LBN Legal business name Aunt Martha'S Youth Service Center
DBA Doing business as
Authorized official Pennington, Audrey A
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2008
Last updated Sep 15th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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