Organization · Type 2 NPI

Plcca,inc.

Community/Behavioral Health Agency · Maywood, IL

NPI number 1457539223 Active

Practice location

411 Madison St
Maywood, IL 60153-2136

Fax (708) 236-5186

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	0-577-0183-P (IL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

8 other providers at this address

Other community/behavioral health agency providers in Maywood

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NPI record

NPI: 1457539223
Entity type: Organization (Type 2)
Issued: Feb 4, 2008
Last updated: Apr 20, 2008
Status: Active
Subpart: Yes of Plcca,inc.

Other names

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Proviso Leyden Council for Community Action · doing business as

Authorized official

Mr. Claude Porter, BISHOP
Pastor
(708) 450-3506

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457539223

Plcca,inc.'s National Provider Identifier is 1457539223, issued on Feb 4, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Maywood, IL. The record was last updated on Apr 20, 2008.