| NPI | 1356828297 |
|---|---|
| Doing Business As | HEART OF THE PHOENIX, LLC |
| Entity Type | Organization |
| Authorized Contact | WENDY CARTER Owner 719-331-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-08-23 |