Organization
LEYDEN FAMILY SERVICE AND MENTAL HEALTH CENTTER
Active
Organization
LEYDEN FAMILY SERVICE AND MENTAL HEALTH CENTTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA PARZYGNAT (CFO)
(847) 451-5091
Entity
Organization
Contact information
Practice address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 451-5091
(847) 451-1652
Mailing address
10001 GRAND AVE, FRANKLIN PARK, IL 60131-2563
(847) 451-5091
(847) 451-1652
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A-0352-0001-A
DHS
IL
Enumeration date
08/23/2016
Last updated
08/23/2016
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