| NPI | 1740893346 |
|---|---|
| Other Name | PHOENIX COMMUNITY SUPPORT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | LASHUNDA SMITH-POPE Owner/CEO 205-346-3123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-12-07 |