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Organization
PHOENIX PROFESSIONAL SERVICES
Active
Organization
PHOENIX PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BUTLER (OWNER)
(336) 508-4884
Entity
Organization
Contact information
Practice address
108 N FAYETTEVILLE ST, LIBERTY, NC 27298-3203
(336) 508-4884
(866) 577-9894
Mailing address
PO BOX 1303, GREENSBORO, NC 27402-1303
(336) 508-4884
(866) 577-9894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2009
Last updated
09/26/2009
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