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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