Proviso Leyden Council for Community Action
Proviso Leyden Council for Community Action is a Case Management Agency in Maywood, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
411 Madison StMaywood, IL 60153-2136
Phone: (708) 450-3500
Fax: (708) 236-5189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X (IL) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X |
Record details
| NPI number | 1962781971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evelyn Coker — Dir. Of Clinical & Social Services · (708) 450-3500 |
| NPI enumerated | August 8, 2011 |
| Last updated in NPPES | August 8, 2011 |
| Mailing address | 411 Madison St, Po Box 950, Maywood, IL 60153-2136 |