PHOENIX BEHAVIORAL SERVICES, INC
Agencies at 147 St, Crestwood, IL

License number
Illinois A58510002A
Category
Agencies
Type
Case Management
Owner
Name: JAMES GOLDING MSW, MHS, CAADC, MAC
Title: PRESIDENT AND CEO
Phone: (708) 926-2789
Address
Address
4649 147Th St, Crestwood, IL 60445
National Provider ID: 1679997266
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHOENIX BEHAVIORAL SERVICES, INC

Crestwood, IL

Industry:
Services-Misc
Doing business as:
Phoenix Behavioral Services
Registration:
Oct 10, 2011
Addresses:
Midlothian, IL 60445 (Physical)
4649 147 St, Crestwood, IL 60445
State ID:
68143101
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
James Golding,5236 131 St, Midlothian, IL 60445 (Physical)

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