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Organization

SISTA AFYA COMMUNITY CARE NFP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAMESHA LYNETTE JONES BRANDON LCSW (EXECUTIVE DIRECTOR)
(240) 533-2876
Entity
Organization

Contact information

Practice address
5022 S STATE ST, CHICAGO, IL 60609-5328
(708) 292-8730
Mailing address
5022 S STATE ST, CHICAGO, IL 60609-5328
(708) 292-8730

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
01/16/2023
Last updated
02/26/2025
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