Organization · Type 2 NPI
Proviso-Leyden Council for Community Action Inc
Methadone Clinic · Maywood, IL
NPI number
1134553076
Active
Practice location
411 Madison St
Maywood, IL 60153-2136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Methadone Clinic Primary | 261QM2800X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | None listed |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
8 other providers at this address
- Plcca, Inc.Contractor Maywood, IL NPI 1134561988
- Plcca,inc.Community/Behavioral Health Agency Maywood, IL NPI 1457539223
- Proviso Leyden Council for Community ActionCommunity/Behavioral Health Agency Maywood, IL NPI 1962781971
- Proviso-Leyden Council for Community Action IncAdult Mental Health Clinic/Center Maywood, IL NPI 1306653613
- Antony D. Greenhow, MS, LPC, NCCCounselor Maywood, IL NPI 1336724814
- Jake Clifton Kelow Iii, LSW/CADC/ATE/COPD IClinical Social Worker Maywood, IL NPI 1033981089
- Janet Tapia, LICENSE SOCIAL WORKMental Health Counselor Maywood, IL NPI 1467172965
- Mindy Ann Hermann I, MSW LSWSocial Worker Maywood, IL NPI 1487426433
Other methadone clinic providers in Maywood
About NPI 1134553076
Proviso-Leyden Council for Community Action Inc's National Provider Identifier is 1134553076, issued on Aug 28, 2013. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Maywood, IL. The record was last updated on Apr 17, 2026.