| NPI | 1518302801 |
|---|---|
| Doing Business As | THE PHOENIX GROUP |
| Entity Type | Organization |
| Authorized Contact | KEITH DUANE MCMILLEN Operations Director 712-355-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: IA 489DLC-456043) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2014-07-09 |