| NPI | 1467118075 |
|---|---|
| Professional Name | EDWARD J PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR CIT-HS-00158) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-07-20 |