1134553076 PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC

Methadone Clinic

Active

Basic Information

Organization Name
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC
Enumeration Date
August 28, 2013
Last Update
March 20, 2024
Authorized Official
CLAUDE PORTER
CEO
Phone: (708) 450-3500

Practice Location

Address
411 MADISON ST
MAYWOOD, IL 601532136
Phone
(708) 236-5042

Mailing Address

Address
411 WEST MADISON STREET
MAYWOOD, IL 60153
Phone
(708) 236-5042

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
101YA0400X Counselor N/A N/A No
Substance Use Disorder Rehabilitation Clinic/Center
Rehabilitation, Substance Use Disorder
261QR0405X Clinic/Center N/A N/A No
Substance Use Disorder Rehabilitation Hospital Unit
276400000X Rehabilitation, Substance Use Disorder Unit N/A N/A No
Methadone Clinic
Methadone
261QM2800X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
1215987003 05 IL N/A

Frequently Asked Questions

What is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's NPI number?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's NPI number is 1134553076.
Which doctor has NPI number 1134553076?
The doctor with NPI number 1134553076 is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC.
What is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's practice address?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's practice address is 411 MADISON ST, MAYWOOD, IL, 601532136.
Which doctor practices at 411 MADISON ST, MAYWOOD, IL, 601532136?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC practices at 411 MADISON ST, MAYWOOD, IL, 601532136.
What is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's mailing address?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's mailing address is 411 WEST MADISON STREET, MAYWOOD, IL, 60153.
What is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's phone number?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's phone number is (708) 236-5042.
Who is (708) 236-5042?
(708) 236-5042 is the phone number for PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC.
What is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's specialty?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC's specialty is Methadone Clinic.
What type of doctor is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC is a Methadone Clinic.
Is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC a Methadone?
Yes, PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC is a Methadone.
Is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC still practicing?
Yes, PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC is currently practicing.
Is PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC accepting new patients?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC may be accepting new patients. Please call their office at (708) 236-5042 to inquire about availability.
Is NPI 1134553076 still active?
Yes, NPI 1134553076 is currently active.
Where does PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC practice?
PROVISO-LEYDEN COUNCIL FOR COMMUNITY ACTION INC practices in MAYWOOD, IL.