Organization
PLCCA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN COKER LCSW (DIRECTOR OF CLINICAL AND SOCIAL SER)
(708) 450-3500
Entity
Organization
Contact information
Practice address
411 W. MADISON ST., MAYWOOD, IL 60153
(708) 450-3500
Mailing address
411 W. MADISON ST., MAYWOOD, IL 60153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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