| NPI | 1780280354 |
|---|---|
| Doing Business As | UNLEASHED PHOENIX |
| Entity Type | Organization |
| Authorized Contact | EDNA ELLISON Executive Director 623-216-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2023-04-12 |