Provider Demographics
NPI: | 1881823557 |
---|---|
Name: | ARP/PHOENIX, INC. |
Entity type: | Organization |
Organization Name: | ARP/PHOENIX, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | VICE PRESIDENT - FINANCIAL SERVICES |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KAREN |
Authorized Official - Middle Name: | LYN |
Authorized Official - Last Name: | ORSINI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MBA |
Authorized Official - Phone: | 404-364-2900 |
Mailing Address - Street 1: | 3060 PEACHTREE RD NW |
Mailing Address - Street 2: | SUITE 900 |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 30305-2234 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 404-364-2900 |
Mailing Address - Fax: | 404-364-2901 |
Practice Address - Street 1: | 356 BILTMORE AVE |
Practice Address - Street 2: | |
Practice Address - City: | ASHEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28801-4504 |
Practice Address - Country: | US |
Practice Address - Phone: | 828-254-2700 |
Practice Address - Fax: | 828-254-1524 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-07-02 |
Last Update Date: | 2010-09-02 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | MHL011050 | 251S00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health |