NPI 1124737283

Phoenix Fire Aba

Organisation Community/Behavioral Health Agency Clarksville, TN

Practice location

Address: 456 Pond Apple Rd Unit 37, Clarksville, TN 37043-5357
Phone: (301) 752-6997
Fax: (931) 218-2075

Authorised official

Name: Fleur Whitehead
Title: Admin Supervisor
Phone: (931) 572-7402

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Tennessee →

Registry record

NPI: 1124737283
Entity type: Organization
NPI issued: 17 Nov 2022
Record last updated: 17 Nov 2022

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.