Organization
LEYDEN FAMILY SERVICE AND MENTAL HEALTH CENTER
Active
Organization
LEYDEN FAMILY SERVICE AND MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA SANTORO (CEO)
(847) 451-0330
Entity
Organization
Contact information
Practice address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 451-0330
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A-0352-0001-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-03252-0001-A
—
IL
Enumeration date
07/08/2014
Last updated
07/18/2016
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