Phoenix Behavioral Services, Inc
Organization Active NPI Case Management Agency · Midlothian, IL
NPI 1679997266 · NPPES record last updated Feb 18, 2014
Key facts
- NPI
- 1679997266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- License
- A58510002A (IL)
- Legal business name
- PHOENIX BEHAVIORAL SERVICES, INC
- Practice address
- 4649 147TH Street
Midlothian, IL 60445 - Phone
- (708) 926-2789
- Fax
- (708) 926-2797
- NPI assigned
- Feb 18, 2014
- Organization subpart
- No
Authorized official
- Name
- James Golding, MSW, MHS, CAADC, MAC
- Title
- President and Ceo
- Phone
- (708) 926-2789
National Provider Directory
Locations
4649 147th St
Midlothian, IL 60445
Phone (708) 926-2789
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | A58510002A | IL | Yes |
Addresses
Primary practice location
4649 147TH Street
Midlothian, IL 60445
Mailing address
4649 147TH Street
Midlothian, IL 60445
Phone (708) 926-2789
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.