AUNT MARTHA'S YOUTH SERVICE CENTER

NPI # 

Practice Address:

1515 Lake St

Hanover Park, IL, 60133-4896

Practice Phone:

708-747-7100

License Number:

049

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X