| NPI | 1700349552 |
|---|---|
| Doing Business As | PHOENIX WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | POONAM PATEL Owner 732-479-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-05-27 |