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Organization
PHOENIX BEHAVIORAL SERVICES, INC
Active
Organization
PHOENIX BEHAVIORAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOLDING MSW, MHS, CAADC, MAC (PRESIDENT AND CEO)
(708) 926-2789
Entity
Organization
Contact information
Practice address
4649 147TH STREET, MIDLOTHIAN, IL 60445
(708) 926-2789
(708) 926-2797
Mailing address
4649 147TH STREET, MIDLOTHIAN, IL 60445
(708) 926-2789
(708) 926-2797
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
A58510002A
IL
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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