NPI | 1790249084 |
---|---|
Doing Business As | TRUE PHOENIX COMMUNITY CARE |
Doing Business As | TRUE PHOENIX |
Doing Business As | TRUE PHOENIX FUNCTIONAL MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | JINAYA S. BEATTY CEO/Medical Director 443-793-7220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2019-01-30 |
Last Update Date | 2025-09-10 |