| NPI | 1407739188 |
|---|---|
| Doing Business As | PHOENIX AGENCY |
| Entity Type | Organization |
| Authorized Contact | DONALD WILSON CEO 702-695-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |