Proviso-Leyden Council for Community Action INC

NPI #1306653613 in Maywood, Illinois

Provider Information

NPI Number
1306653613
Entity Type
Organization
Organization Name
Proviso-Leyden Council for Community Action INC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Dec 11, 2024
Last Updated
Jan 17, 2025

Practice Location

Address
411 MADISON ST
ZIP Code
60153-2136
Phone
(708) 450-3500

Authorized Official

Name
RITA JEAN MCCONVILLE, CPA
Title
CHIEF FINANCIAL OFFICER
Phone
(708) 236-5164

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Adult Mental HealthAdult Mental Health

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