Pilsen-Little Village Community Mental Health Center, Inc in Chicago - Rehabilitation, Substance Use Disorder
Pilsen-Little Village Community Mental Health Center, Inc - NPI 1609054725
Pilsen-Little Village Community Mental Health Center, Inc is a Rehabilitation, Substance Use Disorder in Chicago, Illinois. Pilsen-Little Village Community Mental Health Center, Inc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. 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 | Rehabilitation, Substance Use Disorder |
|---|---|
| Taxonomy | 261Qr0405X |
|
Definition: Provides therapeutic interventions to treat alcohol and 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 Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr0405X.
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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