Proviso-Leyden Council for Community Action INC

NPI #1134553076 in Maywood, Illinois

Provider Information

NPI Number
1134553076
Entity Type
Organization
Organization Name
Proviso-Leyden Council for Community Action INC
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Aug 28, 2013
Last Updated
Mar 20, 2024

Practice Location

Address
411 MADISON ST
ZIP Code
60153-2136
Phone
(708) 236-5042

Authorized Official

Name
CLAUDE PORTER
Title
CEO
Phone
(708) 450-3500

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Rehabilitation, Substance Use Disorder Unit
Clinic/Center - MethadoneMethadone

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