| NPI | 1912354572 |
|---|---|
| Doing Business As | PHOENIX HEALTH PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | LAURA L CAMERON Veterans Specialist 573-875-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |