PHOENIX FIRE ABA

CLARKSVILLE, TN
NPI1124737283
Entity TypeOrganization
Authorized ContactFLEUR WHITEHEAD
Admin Supervisor
931-572-7402
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
PHOENIX FIRE ABA
456 POND APPLE RD UNIT 37
CLARKSVILLE, TN 37043-5357
Phone number: 301-752-6997
Mailing Address
PHOENIX FIRE ABA
456 POND APPLE RD UNIT 37
CLARKSVILLE, TN 37043-5357
Phone number: 301-752-6997
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