| NPI | 1043344146 |
|---|---|
| Other Name | PHOENIX CARE SYSTEMS |
| Entity Type | Organization |
| Authorized Contact | SHERILYN CATHERINE DE FAZIO Nurse 262-564-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 148570030) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |