Organization
PHOENIX CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNIE GRAHAM (CHIEF EXECUTIVE OFFICER)
(305) 891-3439
Entity
Organization
Contact information
Practice address
13730 NW 6TH CT, NORTH MIAMI, FL 33168-2931
(305) 891-3439
Mailing address
13730 NW 6TH CT, NORTH MIAMI, FL 33168-2931
(305) 891-3439
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1113AD081801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1113AD081801
SUBSTANCE ABUSE LICENSE
FL
Enumeration date
10/03/2006
Last updated
08/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us