| NPI | 1528361177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL SHOREIBAH CFO 773-572-5262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IL 04133) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2019-01-17 |