AUNT MARTHA'S YOUTH SERVICE CENTER INC, JOLIET RESIDENTIAL COMMUNITY – NPI #1932543824
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.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

AUNT MARTHA'S YOUTH SERVICE CENTER INC, JOLIET RESIDENTIAL COMMUNITY is a community based residential treatment facility located in JOLIET, IL. NPPES has assigned the NPI number 1932543824 to AUNT MARTHA'S YOUTH SERVICE CENTER INC, JOLIET RESIDENTIAL COMMUNITY on April 22, 2013. 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 13 years ago on Apr 23, 2013. 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, JOLIET RESIDENTIAL COMMUNITY below.

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

NPI Number
1932543824
Enumeration Date

(more than 13 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, JOLIET RESIDENTIAL COMMUNITY
Primary location
1 N CENTER ST
JOLIET, IL 60435-7407
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.