Organization
PHALANX FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA BAILEY (CHIEF OPERATING OFFICER)
(773) 291-1086
Entity
Organization
Contact information
Practice address
837 W 119TH ST, CHICAGO, IL 60643-5211
(773) 291-1086
(773) 291-1434
Mailing address
837 W 119TH ST, CHICAGO, IL 60643-5211
(773) 291-1086
(773) 291-1434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
02/05/2025
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