NPI 1003283540

Pilsen-Little Village Community Mental Health Center, INC.

Organisation Substance Use Disorder Rehabilitation Clinic/Center Chicago, IL

Practice location

Address: 2319 S Damen Ave, Chicago, IL 60608-4209
Phone: (773) 579-0832
Fax: (773) 579-0762

Authorised official

Name: Francisco Cisneros
Title: Presicent/Ceo
Phone: (773) 579-0832

Registered specialties

Substance Use Disorder Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0405X

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Registry record

NPI: 1003283540
Entity type: Organization
NPI issued: 1 Sep 2015
Record last updated: 7 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.