| Phoenix Associates Of Hancock County, Llc | |
|
415 W Main St Greenfield IN 46140-2056 | |
| (317) 462-8281 | |
| (317) 462-8289 |
| Full Name | Phoenix Associates Of Hancock County, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 415 W Main St, Greenfield, Indiana |
| Authorized Official Name and Position | Douglas Charles Keister (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3174628281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Associates Of Hancock County, Llc 415 W Main St Greenfield IN 46140-2056 Ph: (317) 462-8281 | Phoenix Associates Of Hancock County, Llc 415 W Main St Greenfield IN 46140-2056 Ph: (317) 462-8281 |
| NPI Number | 1184859274 |
|---|---|
| Provider Enumeration Date | 05/19/2009 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184859274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1592-0-ASO (Indiana) | Primary |
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