| Phoenix Family Life Center | |
|
3746 Government St Suite 8 Alexandria LA 71302-3252 | |
| (318) 787-6612 | |
| (318) 787-6612 |
| Full Name | Phoenix Family Life Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3746 Government St, Alexandria, Louisiana |
| Authorized Official Name and Position | Charles Ray King (DIRECTOR) |
| Authorized Official Contact | 3187876612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Family Life Center 3746 Government Street Suite 8 Alexandria LA 71302 Ph: (318) 787-6612 | Phoenix Family Life Center 3746 Government St Suite 8 Alexandria LA 71302-3252 Ph: (318) 787-6612 |
| NPI Number | 1558734954 |
|---|---|
| Provider Enumeration Date | 11/06/2015 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558734954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1029 (Louisiana) | Primary |
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