Pilsen-Little Village Community Mental Health Center, INC
Community/Behavioral Health in Chicago, IL. Organization (NPI-2).
NPI number1528463569
StatusActive
Last updated in NPPESNov 4, 2014
Details
- NPI
- 1528463569
- Entity type
- Organization (NPI-2)
- Legal business name
- Pilsen-Little Village Community Mental Health Center, INC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2014
- Last updated
- Nov 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Pilsen Wellness Center INC. (Doing Business As)
Practice location
500 E 47th StChicago, IL 60653-4208
Phone 773-579-0832 · Fax 773-579-0762
Mailing address
2319 S Damen AveChicago, IL 60608-4209
Phone 773-579-0832 · Fax 773-579-0762
Authorized official
Francisco Cisneros
President/Ceo
7735790832
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