| NPI | 1972118438 |
|---|---|
| Doing Business As | PHOENIX |
| Entity Type | Organization |
| Authorized Contact | JEREMY JAMES KORTUS Co Founder 651-795-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |