| NPI | 1437916962 |
|---|---|
| Other Name | PHYLLA HOUSE CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT H MARSHALL CEO 708-548-9209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP1600X Counselor Pastoral | |
| 103TR0400X Psychologist Rehabilitation | |
| 104100000X Social Worker | |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QP2400X Clinic/Center Prison Health | |
| 261QR0800X Clinic/Center Recovery Care | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-06-17 |