Organization
PHOENIX GROUP-PSYCHIATRY AND PSYCHOTHERAPY SPECIALISTS, LTD
Active
Other names
Phoenix Group
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY GRIBLING (SECRETARY OF CORP)
(505) 342-0400
Entity
Organization
Contact information
Practice address
9426 INDIAN SCHOOL RD NE, #2, ALBUQUERQUE, NM 87112
(505) 342-0400
(505) 342-0500
Mailing address
9426 INDIAN SCHOOL RD NE, #2, ALBUQUERQUE, NM 87112
(505) 342-0400
(505) 342-0500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
798
NM
Other
Enumeration date
09/06/2007
Last updated
08/12/2008
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