Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
5453 W DIVERSEY AVE, CHICAGO, IL 60639-1413
(773) 564-9070
(773) 249-9362
Mailing address
3942 W NORTH AVE, CHICAGO, IL 60647-4639
(773) 564-9070
(773) 249-9362
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/14/2014
Last updated
06/26/2020
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