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Proviso-leyden Council For Community Action Inc
Substance Use Disorder Rehabilitation Hospital Unit in Maywood, Illinois
NPI 1134553076

Proviso-leyden Council For Community Action Inc is a Substance Use Disorder Rehabilitation Hospital Unit based in Maywood, IL. Proviso-leyden Council For Community Action Inc practices in Maywood, IL. The NPI Number for Proviso-leyden Council For Community Action Inc is 1134553076 and holds a License No. (Illinois).

The current practice location address for Proviso-leyden Council For Community Action Inc is 411 Madison St, Maywood, IL and can be reached out via phone at 708-236-5042. You can also correspond with Proviso-leyden Council For Community Action Inc through the mailing address at 411 WEST MADISON STREET, MAYWOOD, IL - 60153 (mailing address contact number: 708-236-5042).

Location: 411 Madison St, Maywood, IL, 60153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134553076
Provider Name
Proviso-leyden Council For Community Action Inc
Credential
Provider Entity Type
Organization
Address
411 Madison St, Maywood, IL, 60153
Phone Number
708-236-5042
Fax Number
Provider Enumeration Date
08/28/2013
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215987003 05 IL
institution
Provider Business Practice Location Address Details
Address
411 Madison St
City
Maywood
State
Illinois
Zip
60153-2136
Phone Number
708-236-5042
Fax Number
person
Provider Business Mailing Address Details
Address
411 West Madison Street
City
Maywood
State
Illinois
Zip
60153
Phone Number
708-236-5042
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
276400000X
License No.
()
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
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