Organization
SISTA AFYA COMMUNITY CARE NFP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMESHA LYNETTE JONES (EXECUTIVE DIRECTOR)
(773) 234-7994
Entity
Organization
Contact information
Practice address
1817 E 71ST ST, CHICAGO, IL 60649-2000
(737) 234-7994
Mailing address
1817 E 71ST ST, CHICAGO, IL 60649-2000
(773) 234-7994
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
07/06/2022
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