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Organization

FRESH START COMMUNITY MENTAL HEALTH CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANWAR S YAMINI (C.E.O.)
(708) 743-0832
Entity
Organization

Contact information

Practice address
3011 183RD ST, STE 300, HOMEWOOD, IL 60430-2804
(708) 743-0832
Mailing address
3011 183RD ST, STE 300, HOMEWOOD, IL 60430-2804

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
04/22/2010
Last updated
04/22/2010
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