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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