Organization · Type 2 NPI

Proviso Leyden Council for Community Action

Community/Behavioral Health Agency · Maywood, IL

NPI number 1962781971 Active

Practice location

411 Madison St
Maywood, IL 60153-2136

Fax (708) 236-5189

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

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

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About NPI 1962781971

Proviso Leyden Council for Community Action's National Provider Identifier is 1962781971, issued on Aug 8, 2011. 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 Aug 8, 2011.