| NPI | 1801678529 |
|---|---|
| Doing Business As | PHOENICIAN RECOVERY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MENDEZ Owner 602-363-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |