| NPI | 1053736744 |
|---|---|
| Doing Business As | PHOENIX ENTERPRISES |
| Entity Type | Organization |
| Authorized Contact | NZINGA HARRISON Chief Medical Officer 925-825-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2018-07-03 |