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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
8741 S GREENWOOD AVE STE 206&208, CHICAGO, IL 60619-7061
(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
04133
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04133
IL
Enumeration date
11/16/2015
Last updated
01/17/2019
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