| NPI | 1265757991 |
|---|---|
| Doing Business As | PHOENIX HEALTH PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | LAURA LYNNE CAMERON Veterans Specialist 573-875-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2016-05-05 |