NPI: 1104365063
Provider Name: AUNT MARTHA'S YOUTH SERVICE CENTER, INC.
Doing Business As: AUNT MARTHA'S SEADAC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
8640 S SOUTH CHICAGO AVE
CHICAGO, IL
ZIP 60617
Phone: (704) 747-7100
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AUNT MARTHA'S YOUTH SERVICE CENTER, INC. is a rehabilitation and substance use disorder clinic center in Chicago, IL. AUNT MARTHA'S YOUTH SERVICE CENTER, INC. NPI is 1104365063. The provider is registered as an organization entity type.
The provider Is Doing Business As Aunt Martha's Seadac.
The provider's business location address is:
8640 S SOUTH CHICAGO AVE
CHICAGO, IL
ZIP 60617-314
Phone: (704) 747-7100
The provider's authorized official is Mary Martin .
The authorized official title is Cfo and has the following contact phone number (708) 825-5976.
The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.