Phoenix Cm Incorporated
NPI #1306103353 in Saint Augustine, Florida
Provider Information
- NPI Number
- 1306103353
- Entity Type
- Organization
- Organization Name
- Phoenix Cm Incorporated
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Apr 16, 2012
- Last Updated
- Apr 16, 2012
Practice Location
- Address
- 52 TUSCAN WAY
- Address 2
- STE. 202-142
- City
- Saint Augustine
- State
- Florida
- ZIP Code
- 32092-1850
- Phone
- (904) 201-9275
Authorized Official
- Name
- MS. ELLA B. RUSSELL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (443) 880-6124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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