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Organization

ASSOCIATION HOUSE OF CHICAGO-DULCINEA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WANDA FIGUEROA PHED (BEHAVIORAL HEALTH DIRECTOR)
(773) 772-8009
Entity
Organization

Contact information

Practice address
3264 W CORTLAND ST, CHICAGO, IL 60647-3758
(773) 772-8009
(773) 292-5490
Mailing address
1116 N KEDZIE AVE, CHICAGO, IL 60651-4152
(773) 772-8009
(773) 292-5490

Taxonomy

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

Other

Enumeration date
05/29/2008
Last updated
01/23/2012
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