Organization
FRESH START COMMUNITY MENTAL HEALTH CENTER INC
Active
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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