| NPI | 1083861975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL SHOREIBAH CFO 773-572-5262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2018-04-18 |