| NPI | 1922766450 |
|---|---|
| Former Legal Business Name | PHOENIXTHERAPEUTIC SOLUTIONS, PA |
| Entity Type | Organization |
| Authorized Contact | VERONICA HERNANDEZ Director Of Billing 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |