Organization
EMOTIONAL HEALTH AND BEHAVIORAL CONSULTING/THE PHOENIX/PHOENIX BX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAYLOR CHRISTIAN BROWN (OWNER AND CEO)
(312) 874-0715
Entity
Organization
Contact information
Practice address
7938 S KENWOOD AVE, CHICAGO, IL 60619-3411
(312) 874-0715
Mailing address
7938 S KENWOOD AVE, CHICAGO, IL 60619-3411
(312) 874-0715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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