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Organization
PHOENIX FAMILY LIFE CENTER
Active
Organization
PHOENIX FAMILY LIFE CENTER
Active
Other names
First Choice Addiction Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RAY KING PH.D (DIRECTOR)
(318) 787-6612
Entity
Organization
Contact information
Practice address
3746 GOVERNMENT ST, SUITE 8, ALEXANDRIA, LA 71302-3252
(318) 787-6612
(318) 787-6612
Mailing address
3746 GOVERNMENT STREET, SUITE 8, ALEXANDRIA, LA 71302
(318) 787-6612
(318) 787-6612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1029
LA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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