Organization
PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION
Active
Organization
PHOENIX GOSPEL MISSION, INC. DBA PHOENIX RESCUE MISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN A. SMITH (CHIEF PROGRAM OFFICER)
(602) 419-8194
Entity
Organization
Contact information
Practice address
1801 S 35TH AVE, PHOENIX, AZ 85009-6706
(602) 233-3000
(602) 272-5614
Mailing address
1540 W VAN BUREN ST, PHOENIX, AZ 85007-2414
(602) 233-3000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
10/17/2023
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