Organization · Type 2 NPI
Pilsen-Little Village Community Mental Health Center, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Chicago, IL
NPI number
1578787644
Active
Practice location
3113 W Cermak Rd
Chicago, IL 60623-3449
Fax (773) 277-3517
Mailing address
2319 S Damen Ave
Chicago, IL 60608-4209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1578787644
Pilsen-Little Village Community Mental Health Center, Inc.'s National Provider Identifier is 1578787644, issued on Apr 12, 2007. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Chicago, IL. The record was last updated on Feb 7, 2022.