| NPI | 1104455476 |
|---|---|
| Doing Business As | PHOENIX BEHAVIORAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | YESICA Y SANCHEZ Manager 702-334-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-02-25 |