| NPI | 1902091622 |
|---|---|
| Other Name | PHOENIX GROUP |
| Entity Type | Organization |
| Authorized Contact | SHERRY GRIBLING Secretary Of Corp 505-342-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NM 798) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-08-12 |