Organization · Type 2 NPI
Proviso-Leyden Council for Community Action Inc
Methadone Clinic · Maywood, IL
NPI number
1386589034
Active
Practice location
308 S 5th Ave
Maywood, IL 60153-1650
Mailing address
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 |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
2 other providers at this address
Other methadone clinic providers in Maywood
About NPI 1386589034
Proviso-Leyden Council for Community Action Inc's National Provider Identifier is 1386589034, issued on Apr 21, 2026. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Maywood, IL. The record was last updated on Apr 21, 2026.