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Organization

PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.

Active
Other names
Pilsen Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCISCO CISNEROS PH.D. (PRESIDENT & CEO)
(773) 579-0832
Entity
Organization

Contact information

Practice address
2938 E 89TH ST, CHICAGO, IL 60617-3244
(773) 579-0832
(773) 579-0762
Mailing address
2319 S DAMEN AVE, CHICAGO, IL 60608-4209
(773) 579-0832

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/04/2020
Last updated
04/09/2021
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