Organization
THE PHOENIX GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY S MOSES (CEO)
(843) 546-8480
Entity
Organization
Contact information
Practice address
11 MAE PL, GEORGETOWN, SC 29440-6034
(843) 240-7597
Mailing address
PO BOX 1154, GEORGETOWN, SC 29442-1154
(843) 240-7597
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2010
Last updated
04/04/2010
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