Organization
PHOENIX COMMUNITY SUPPORT SERVICES LLC
Active
Parent organization
PHOENIX COMMUNITY SUPPORT SERVICES LLC
Other names
Phoenix Community Support Services LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX COMMUNITY SUPPORT SERVICES LLC
Authorized official
LASHUNDA SMITH-POPE (OWNER/CEO)
(205) 346-3123
Entity
Organization
Contact information
Practice address
4111 AVENUE L, BIRMINGHAM, AL 35208-1807
(205) 346-3123
Mailing address
4111 AVENUE L, BIRMINGHAM, AL 35208-1807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
12/07/2020
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