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Organization

LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER

Active
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Organization

LEYDEN FAMILY SERVICE & MENTAL HEALTH CENTER

Active
Other names
The SHARE Program
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER JULIA HAMILTON (CEO)
(847) 451-0330
Entity
Organization

Contact information

Practice address
1776 MOON LAKE BLVD., HOFFMAN ESTATES, IL 60169
(847) 882-4181
(847) 882-4299
Mailing address
1776 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(847) 882-4181
(847) 882-4299

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
A-0352-0003-A
IL
324500000X
Substance Abuse Rehabilitation Facility
Primary
A0352-0003-A
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
293079
VALUE OPTION ID
IL
01
50069
BLUE CROSS/BLUE SHIELD ID
IL
01
7942353
AETNA ID
IL
Enumeration date
10/02/2006
Last updated
03/23/2026
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