Phalanx Family Services
Clinic/Center, Adolescent and Children Mental Health in Chicago, IL. Organization (NPI-2).
NPI number1841014271
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1841014271
- Entity type
- Organization (NPI-2)
- Legal business name
- Phalanx Family Services
- Organization subpart
- No
- Enumeration date
- Nov 12, 2024
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
837 W 119th StChicago, IL 60643-5211
Phone 773-291-1086 · Fax 773-291-1434
Mailing address
837 W 119th StChicago, IL 60643-5211
Phone 773-291-1086 · Fax 773-291-1434
Authorized official
Laura Bailey
Chief Operating Officer
7732911086
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