| NPI | 1215698915 |
|---|---|
| Doing Business As | PHOENIX HEALING SERVICES |
| Entity Type | Organization |
| Authorized Contact | LASHAWN JANELL WATERS CEO 610-761-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-04 |
| Last Update Date | 2022-01-04 |