NPI 1053500660

Phoenix Therapeutic Services, INC.

Organisation Early Intervention Provider Agency Washington, DC

Practice location

Address: 4705 Asbury Pl NW, Washington, DC 20016-4326
Phone: (202) 465-6206

Authorised official

Name: Leonard V McPherson
Title: Director of Operations
Phone: (202) 465-6206

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence OT583 (DC)

Other Early Intervention Provider Agency providers in District of Columbia →

Registry record

NPI: 1053500660
Entity type: Organization
NPI issued: 19 Oct 2007
Record last updated: 19 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.