Organization
THRESHOLDS
Active
Parent organization
THE THRESHOLDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE THRESHOLDS
Authorized official
AL SHOREIBAH (CFO)
(773) 572-5262
Entity
Organization
Contact information
Practice address
4646 N RAVENSWOOD AVE, CHICAGO, IL 60640-4510
(773) 572-5500
Mailing address
4101 N RAVENSWOOD AVE, CHICAGO, IL 60613-2193
(773) 572-5500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/04/2013
Last updated
01/16/2019
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