| NPI | 1790584704 |
|---|---|
| Doing Business As | PHOENIX INTEGRATED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | HOLLY THRAILKILL Owner, Nurse Practitioner 832-262-8358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-03-11 |