Organization
PHOENIX FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA LOUISE GRIFFIN LPC, CACII, MAC CCS (CLINICAL DIRECTOR)
(678) 358-5099
Entity
Organization
Contact information
Practice address
4284 MEMORIAL DR STE D, DECATUR, GA 30032-1220
(678) 358-5099
(770) 388-7763
Mailing address
1701 LIMESTONE TER, LITHONIA, GA 30058-3715
(678) 358-5099
(770) 388-7763
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
00242918
GA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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