Organization
PHOENIX RESIDENTIAL INVESTMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DETITRIA MUTIZWA (PROGRAM ADMINISTRATOR)
(214) 301-8900
Entity
Organization
Contact information
Practice address
127 WILSON RD, WAXAHACHIE, TX 75165-9185
(214) 301-8900
Mailing address
608 CHAPEL PL, CEDAR HILL, TX 75104-1760
(214) 301-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
12/21/2022
Last updated
03/20/2026
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