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Organization
PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO CISNEROS MA, CADC (EXECUTIVE DIRECTOR)
(773) 579-0832
Entity
Organization
Contact information
Practice address
3113 W CERMAK RD, CHICAGO, IL 60623-3449
(773) 277-3413
(773) 257-0912
Mailing address
3113 W CERMAK RD, CHICAGO, IL 60623-3449
(773) 277-3413
(773) 277-3517
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
A-0155-0001-A
IL
252Y00000X
Early Intervention Provider Agency
A-0155-0001-A
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2022
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