Organization
PILSEN LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO CISNEROS PH.D. (PRESIDENT & CEO)
(773) 579-0832
Entity
Organization
Contact information
Practice address
1546 N MANNHEIM RD, STONE PARK, IL 60165-1117
(708) 410-0856
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
01/27/2021
Last updated
08/27/2021
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