Organization
RINCON FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDY BORRAYO (PRESIDENT/CEO)
(773) 564-9070
Entity
Organization
Contact information
Practice address
3809 W GRAND AVE, CHICAGO, IL 60651-2004
(773) 276-0200
(773) 276-4226
Mailing address
3809 W GRAND AVE, CHICAGO, IL 60651-2004
(773) 276-0200
(773) 276-4226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
004880004
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/28/2015
Last updated
10/07/2016
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