| Phoenix Group Mental Health Services Inc | |
|
103 2nd Ave Ne Clarion IA 50525-1430 | |
| (515) 532-3338 | |
| (515) 532-3339 |
| Full Name | Phoenix Group Mental Health Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 2nd Ave Ne, Clarion, Iowa |
| Authorized Official Name and Position | Susan Jean Marvin (PRESIDENT) |
| Authorized Official Contact | 5155323338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Group Mental Health Services Inc Po Box 474 Humboldt IA 50548-0474 Ph: (515) 532-3338 | Phoenix Group Mental Health Services Inc 103 2nd Ave Ne Clarion IA 50525-1430 Ph: (515) 532-3338 |
| NPI Number | 1316932833 |
|---|---|
| Provider Enumeration Date | 09/12/2005 |
| Last Update Date | 06/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316932833 | NPI | - | NPPES |
| 1316932833 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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