| NPI | 1255088902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSAR A MOHAMMED President 773-852-7866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| 261Q00000X Clinic/Center | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 305S00000X Point of Service | |
| 333300000X Emergency Response System Companies | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-04-19 |