Organization
CAMP PHOENIX
Active
Other names
Phoenix Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH ROSEN GARRETT LCSW (EX. DIRECTOR)
(830) 613-7230
Entity
Organization
Contact information
Practice address
3340 STATE HIGHWAY 71 W, HORSESHOE BAY, TX 78657-9657
(830) 637-7848
Mailing address
PO BOX 732, MARBLE FALLS, TX 78654-0732
(830) 613-7230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
389257201
—
TX
Enumeration date
08/01/2013
Last updated
06/29/2021
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