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FP606281 Aunt Martha's Youth Service Center Inc. (Active)
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Main Details
Name
Aunt Martha's Youth Service Center Inc.
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP606281
Grant Number
FPHPA056208
Additional Details
Current Program Status
Active
Registration Date
4/15/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/18/2017
Last Recertification Date
5/10/2024
Contacts
Authorizing Official
Aunt Martha's
Audrey Pennington, Chief Operating Officer
(708) 747-7100
Primary Contact
Aunt Martha's Health & Wellness
Tamara Lim, VP Quality & Clinical Excellence
(708) 747-7100
Addresses
Street Address
1200 Eagle Street
Joliet, IL 60432
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
May 2025
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