Pilsen-Little Village Community Mental Health Center, Inc in Chicago - Methadone
Pilsen-Little Village Community Mental Health Center, Inc - NPI 1609054725
Pilsen-Little Village Community Mental Health Center, Inc is a Methadone in Chicago, Illinois. Pilsen-Little Village Community Mental Health Center, Inc practices all healthcare services and medical treatments related to Methadone. The NPI Number for Pilsen-Little Village Community Mental Health Center, Inc is 1609054725. The last update date is 2022-02-07.
Pilsen-Little Village Community Mental Health Center, Inc's current location address is 2319 S Damen Ave, Chicago, Illinois. You can contact this provider via phone number 7735790832 and fax number 7735790762. The mailing address for Pilsen-Little Village Community Mental Health Center, Inc is 2319 S Damen Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pilsen-Little Village Community Mental Health Center, Inc |
|---|---|
| Address | 2319 S Damen Ave, Chicago, Illinois |
| Phone Number | 7735790832 |
| Fax Number | 7735790762 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Cisneros Francisco |
| Credentials | MA, CADC |
| Telephone Number | 7735790832 |
NPI Number Detail
| NPI Number | 1609054725 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2022-02-07 |
Provider Mailing Address Detail
| Address | 2319 S Damen Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606084209 |
| Phone Number | 7735790832 |
| Fax Number | 7735790762 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A-0155-0004-A | IL | STATE GRANTS | |
| A-0155-0004-A | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pilsen-Little Village Community Mental Health Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Pilsen-Little Village Community Mental Health Center, Inc has been assigned the NPI (National Provider Identifier) 1609054725. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Pilsen-Little Village Community Mental Health Center, Inc is physically located?
The Pilsen-Little Village Community Mental Health Center, Inc is situated at the following address: 2319 S Damen Ave, Chicago, IL 606084209.
What is Pilsen-Little Village Community Mental Health Center, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Pilsen-Little Village Community Mental Health Center, Inc's specialized field of practice is Methadone, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2800X.
When did the Pilsen-Little Village Community Mental Health Center, Inc receive its 1609054725?
The Pilsen-Little Village Community Mental Health Center, Inc was issued its 1609054725 on 2008-01-31, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Pilsen-Little Village Community Mental Health Center, Inc most recently updated or revised?
The details related to Pilsen-Little Village Community Mental Health Center, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-07.
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