| NPI | 1356987184 |
|---|---|
| Doing Business As | AUNT MARTHA'S INTEGRATED CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA BORRAYO Director Of Patient Access 708-825-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-10-09 |