NPI | 1891011003 |
---|---|
Doing Business As | PROJECT PHOENIX HOUSE |
Entity Type | Organization |
Authorized Contact | EDWARD KEITH HOUSTON Executive Director 443-847-7772 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-04-13 |
Last Update Date | 2010-04-13 |