Organization · Type 2 NPI
Pilsen-Little Village Community Mental Health Center, Inc
Substance Use Disorder Rehabilitation Clinic/Center · Stone Park, IL
NPI number
1609054725
Active
Practice location
1546 N Mannheim Rd
Stone Park, IL 60165-1117
Fax (708) 410-0884
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...
Another provider at this address
About NPI 1609054725
Pilsen-Little Village Community Mental Health Center, Inc's National Provider Identifier is 1609054725, issued on Jan 31, 2008. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Stone Park, IL. The record was last updated on Feb 7, 2022.