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Organization
SISTA AFYA COMMUNITY MENTAL WELLNESS LLC
Active
Organization
SISTA AFYA COMMUNITY MENTAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMESHA LYNETTE JONES LCSW (LCSW/EXECUTIVE DIRECTOR)
(773) 234-7994
Entity
Organization
Contact information
Practice address
1817 E 71ST ST, CHICAGO, IL 60649-2000
(773) 234-7994
Mailing address
503 E 61ST ST, CHICAGO, IL 60637-2406
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/02/2019
Last updated
03/07/2021
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