| NPI | 1790249084 |
|---|---|
| Doing Business As | TRUE PHOENIX |
| Doing Business As | TRUE PHOENIX COMMUNITY CARE |
| Entity Type | Organization |
| Authorized Contact | JINAYA S BEATTY Medical Director 443-793-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-08-14 |