Organization
PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION
Active
Other names
Phoenix Rescue Mission
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN SMITH (CHIEF PROGRAM OFFICER)
(602) 419-8194
Entity
Organization
Contact information
Practice address
338 N 15TH AVE, PHOENIX, AZ 85007-2402
(602) 475-1695
Mailing address
1540 W VAN BUREN ST, PHOENIX, AZ 85007-2414
(602) 475-1695
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
10/17/2023
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