OrganizationActive
Proviso-Leyden Council for Community Action Inc
NPI 1386589034 · Methadone Clinic · Maywood, IL
Provider details
- NPI number
- 1386589034
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Authorized official
- Claudette Harrell, Ceo
Mailing address
411 Madison St
Maywood, IL 60153-2136
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.