| NPI | 1043503469 |
|---|---|
| Other Name | PHOENIXN THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | AKILIA TERRY MCCAIN Clinical Director 773-233-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |