Phoenix Fire Aba
NPI #1124737283 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1124737283
- Entity Type
- Organization
- Organization Name
- Phoenix Fire Aba
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 17, 2022
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 456 POND APPLE RD UNIT 37
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043-5357
- Phone
- (301) 752-6997
Authorized Official
- Name
- FLEUR WHITEHEAD
- Title
- ADMIN SUPERVISOR
- Phone
- (931) 572-7402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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