NPI | 1811503535 |
---|---|
Doing Business As | PHOENIX BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | TARA GUIDA Owner 757-933-3130 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |