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 PH.D. (PRESIDENT/CEO)
(773) 579-0982
Entity
Organization
Contact information
Practice address
1518 E 63RD ST, CHICAGO, IL 60637-2921
(773) 579-0832
(773) 579-0762
Mailing address
2319 S DAMEN AVE, CHICAGO, IL 60608-4209
(773) 579-0832
(773) 579-0762
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
04113
IL
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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