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 (PRESIDENT/CEO)
(773) 579-0832
Entity
Organization
Contact information
Practice address
500 E 47TH ST, CHICAGO, IL 60653-4208
(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
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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