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Organization
ALTERNATIVE SCHOOLS NETWORK
Active
Organization
ALTERNATIVE SCHOOLS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOURA EBRAHIM (CLINICAL DIRECTOR)
(733) 724-0665
Entity
Organization
Contact information
Practice address
1807 W SUNNYSIDE AVE, CHICAGO, IL 60640-5898
(773) 728-4030
Mailing address
1807 W SUNNYSIDE AVE, CHICAGO, IL 60640-5898
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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