| Phoenix Professional Services | |
|
108 N Fayetteville St Liberty NC 27298-3203 | |
| (336) 508-4884 | |
| (866) 577-9894 |
| Full Name | Phoenix Professional Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 108 N Fayetteville St, Liberty, North Carolina |
| Authorized Official Name and Position | Rick Butler (OWNER) |
| Authorized Official Contact | 3365084884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Professional Services Po Box 1303 Greensboro NC 27402-1303 Ph: (336) 508-4884 | Phoenix Professional Services 108 N Fayetteville St Liberty NC 27298-3203 Ph: (336) 508-4884 |
| NPI Number | 1740514579 |
|---|---|
| Provider Enumeration Date | 09/26/2009 |
| Last Update Date | 09/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740514579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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