Plcca

NPI #1023442753 in Maywood, Illinois

Provider Information

NPI Number: 1023442753
Entity Type: Organization
Organization Name: Plcca
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 29, 2013
Last Updated: Aug 5, 2022

Practice Location

Address: 411 MADISON W ST
City: Maywood
State: Illinois
ZIP Code: 60153-2136
Phone: (708) 450-3500

Authorized Official

Name: MS. PAMELA M YATES
Title: DATA/BILLING SPECIALIST
Phone: (708) 450-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X
Clinic/Center	261Q00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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