NPI 1356938146
Phoenix LLC
Practice location
- Address
- 2226 5th Ave, Council Bluffs, IA 51501-3735
- Phone
- (402) 378-5755
Authorised official
- Name
- Joquana Goynes
- Title
- Executive Director
- Phone
- (402) 378-5755
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1356938146
- Entity type
- Organization
- NPI issued
- 28 Dec 2020
- Record last updated
- 11 Sep 2024
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.