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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