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PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER INC. NPI 1154744480


NPI Information

NPI: 1154744480
Provider Name: PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC.

Doing Business As: PILSEN WELLNESS CENTER, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1518 E 63RD ST
CHICAGO, IL
ZIP 60637
Phone: (773) 579-0832
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PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. is a community behavioral health in Chicago, IL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PILSEN-LITTLE VILLAGE COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1154744480. The provider is registered as an organization entity type.
The provider Is Doing Business As Pilsen Wellness Center, Inc..

The provider's business location address is:

1518 E 63RD ST
CHICAGO, IL
ZIP 60637-921
Phone: (773) 579-0832
Fax: (773) 579-0762

The provider's authorized official is Francisco Cisneros .
The authorized official title is President/ceo and has the following contact phone number (773) 579-0982.

The enumeration date for this NPI number is 1/22/2014 and was last updated on 1/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health04113ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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