Organization
PHOENIX ASSOCIATES OF HANCOCK COUNTY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS CHARLES KEISTER LMHC, CADACII (CLINICAL DIRECTOR)
(317) 462-8281
Entity
Organization
Contact information
Practice address
415 W MAIN ST, GREENFIELD, IN 46140-2056
(317) 462-8281
(317) 462-8289
Mailing address
415 W MAIN ST, GREENFIELD, IN 46140-2056
(317) 462-8281
(317) 462-8289
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1592-0-ASO
IN
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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