Provider First Line Business Mailing Address:
PHOENIX FAMILY LIFE CENTERS, 100 ASMA BLVD, SUITE 200,
Provider Second Line Business Mailing Address:
PHOENIX FAMILY LIFE CENTERS, 100 ASMA BLVD, SUITE 200,
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70503-3221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-380-8947
Provider Business Mailing Address Fax Number: