| NPI | 1780998781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL SHOREIBAH CFO 773-572-5262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| 251S00000X (Licence: IL 04133) | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2019-01-16 |