| NPI | 1811783079 |
|---|---|
| Doing Business As | PHOENIX CLINIC CHICAGO |
| Entity Type | Organization |
| Authorized Contact | TAYLOR ARIEL PETTWAY Executive Director 773-431-7397 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-04-15 |