NPI | 1912281031 |
---|---|
Doing Business As | PHOENIX FAMILY LIFE CENTERS |
Entity Type | Organization |
Authorized Contact | GEMMALYN PRYOR Seaside Hc Billing Supervisor 337-234-8280 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2011-10-07 |
Last Update Date | 2023-06-30 |