PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC is an adult mental health clinic center in Maywood, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC NPI is 1306653613. The provider is registered as an organization entity type.
The provider's business location address is:
411 MADISON ST MAYWOOD, IL ZIP 60153-136 Phone: (708) 450-3500 Fax: (708) 236-5184
The provider's authorized official is Rita Jean Mcconville . The authorized official title is Chief Financial Officer and has the following contact phone number (708) 236-5164.
The enumeration date for this NPI number is 12/11/2024 and was last updated on 1/17/2025.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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