Proviso-Leyden Council for Community Action Inc
Proviso-Leyden Council for Community Action Inc is an Adult Mental Health Clinic/Center in Maywood, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
411 Madison StMaywood, IL 60153-2136
Phone: (708) 450-3500
Fax: (708) 236-5184
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1306653613 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jacob Mathew — Board Member · (708) 632-5610 |
| Other names | Plcca |
| NPI enumerated | December 11, 2024 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 411 Madison St, Maywood, IL 60153-2136 |
Other providers in Maywood
-
Bloom Family Services Nfp
1701 S 1st Ave Ste 204C, Maywood, IL 60153-2400 · (773) 676-6900