Organization · Type 2 NPI

Proviso-Leyden Council for Community Action Inc

Methadone Clinic · Maywood, IL

NPI number 1134553076 Active

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.