| 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 |