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Organization

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.

Active
Other names
Pilsen Wellness Center, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANCISCO CISNEROS (PRESICENT/CEO)
(773) 579-0832
Entity
Organization

Contact information

Practice address
1633 N 37TH AVE, MELROSE PARK, IL 60160-1723
(708) 343-7860
(708) 343-7895
Mailing address
2319 S DAMEN AVE, CHICAGO, IL 60608-4209
(773) 579-0832
(773) 579-0762

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
09/01/2015
Last updated
06/07/2019
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