| Plcca, Inc. | |
|
411 W. Madison St. Maywood IL 60153 | |
| (708) 450-3500 | |
| Not Available |
| Full Name | Plcca, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 411 W. Madison St., Maywood, Illinois |
| Authorized Official Name and Position | Evelyn Coker (DIRECTOR OF CLINICAL AND SOCIAL SER) |
| Authorized Official Contact | 7084503500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plcca, Inc. 411 W. Madison St. Maywood IL 60153 Ph: () - | Plcca, Inc. 411 W. Madison St. Maywood IL 60153 Ph: (708) 450-3500 |
| NPI Number | 1487904660 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487904660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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