NPI | 1003283540 |
---|---|
Doing Business As | PILSEN WELLNESS CENTER, INC |
Entity Type | Organization |
Authorized Contact | FRANCISCO CISNEROS Presicent/CEO 773-579-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2015-09-01 |
Last Update Date | 2019-06-07 |