Organization · Type 2 NPI

Phoenix

Voluntary or Charitable Agency · North Branch, MN

NPI number 1972118438 Active

Practice location

6697 Elm St
North Branch, MN 55056-7045

Specialties and licenses

TaxonomyCodeLicense
Voluntary or Charitable Agency Primary 251V00000XNone listed

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About NPI 1972118438

Phoenix's National Provider Identifier is 1972118438, issued on Sep 11, 2020. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in North Branch, MN. The record was last updated on Sep 11, 2020.