AUNT MARTHA'S YOUTH SERVICE CENTER, INC – NPI #1053555235
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

AUNT MARTHA'S YOUTH SERVICE CENTER, INC is a community based residential treatment facility located in DOLTON, IL. NPPES has assigned the NPI number 1053555235 to AUNT MARTHA'S YOUTH SERVICE CENTER, INC on May 01, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 16 years ago on Dec 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUNT MARTHA'S YOUTH SERVICE CENTER, INC below.

NPI Profile for
AUNT MARTHA'S YOUTH SERVICE CENTER, INC

NPI Number
1053555235
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AUNT MARTHA'S YOUTH SERVICE CENTER, INC
Primary location
14449 VANBUREN
DOLTON, IL 60419
Phone: (708) 747-7100 Fax:
Mailing address
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461-1021
Phone: (708) 747-7100 Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER NORDLOH
CFO
Phone: (708) 747-7100
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.