| 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 Community/Behavioral Health | 
| Enumeration Date | 2020-08-25 | 
| Last Update Date | 2020-12-07 |