Fenix Group, LLC

NPI #1952676207 in Avondale, Arizona

Provider Information

NPI Number: 1952676207
Entity Type: Organization
Organization Name: Fenix Group, LLC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Mar 20, 2012
Last Updated: Mar 20, 2012

Practice Location

Address: 919 N DYSART RD
Address 2: STE V
City: Avondale
State: Arizona
ZIP Code: 85323-1711
Phone: (623) 882-2016

Authorized Official

Name: RON TILLEY
Title: CEO
Phone: (623) 882-2016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X	Primary

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