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 1633 N 37Th Ave , Melrose Park IL 60160-1723. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Pilsen-Little Village Community Mental Health Center, Inc can be contacted via phone (708) 343-7860, or through Cisneros, Francisco via phone (773) 579-0832.
Contact Information
Primary practice address
1633 N 37Th Ave
Melrose Park IL 60160-1723
Phone: (708) 343-7860
Fax: (708) 343-7895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1699953711 |
|---|---|
| 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 | Apr 9th, 2021 - about 3 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 | 1699953711 | NPPES |
| Illinois | MEDICAID | A-0155-0003-A | |
| Illinois | Other | A-0155-0003-A |
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