| Phoenix Programs, Inc. | |
|
90 E. Leslie Ln. Columbia MO 65202 | |
| (573) 875-8880 | |
| (573) 442-3830 |
| Full Name | Phoenix Programs, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 90 E. Leslie Ln., Columbia, Missouri |
| Authorized Official Name and Position | Paula K Caldwell (COUNSELOR) |
| Authorized Official Contact | 5738758880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Programs, Inc. 90 E. Leslie Ln. Columbia MO 65202 Ph: (573) 875-8880 | Phoenix Programs, Inc. 90 E. Leslie Ln. Columbia MO 65202 Ph: (573) 875-8880 |
| NPI Number | 1851873608 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851873608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001046 (Missouri) | Primary |
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