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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