NPI 1518653377
Phoenix Therapy Center PLLC
Practice location
- Address
- 402 6th Ave SW, Bowman, ND 58623-4506
- Phone
- (701) 206-0955
- Mailing address
- 602 1st St NW, Bowman, ND 58623-4461
Authorised official
- Name
- Melissa A. Buchholz
- Title
- Ceo
- Phone
- (701) 206-0955
Registered specialties (3)
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Adult Mental Health Clinic/Center
Adolescent and Children Mental Health Clinic/Center
Registry record
- NPI
- 1518653377
- Entity type
- Organization
- NPI issued
- 14 Apr 2023
- Record last updated
- 25 Sep 2023
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.