Pilsen-Little Village Community Mental Health Center, Inc
LBN: Pilsen-Little Village Community Mental Health Center, Inc
Pilsen-Little Village Community Mental Health Center, Inc is an health care organization with primary practice located at 1546 N Mannheim Rd , Stone Park IL 60165-1117. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Pilsen-Little Village Community Mental Health Center, Inc can be contacted via phone (708) 410-0856, or through Cisneros, Francisco via phone (773) 579-0832.
Contact Information
Primary practice address
1546 N Mannheim Rd
Stone Park IL 60165-1117
Phone: (708) 410-0856
Fax: (708) 410-0884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Methadone | 261QM2800X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1609054725 |
|---|---|
| LBN Legal business name | Pilsen-Little Village Community Mental Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Cisneros, Francisco MA, CADC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2008 |
| Last updated | Feb 7th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609054725 | NPPES |
| Illinois | Other | A-0155-0004-A | STATE GRANTS |
| Illinois | MEDICAID | A-0155-0004-A | STATE GRANTS |
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