Phoenix Adolescent Outpatient Treatment
NPI #1003096447 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1003096447
- Entity Type
- Organization
- Organization Name
- Phoenix Adolescent Outpatient Treatment
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PHOENIX GROUP HOMES, INC.
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 13, 2007
- Last Updated
- Nov 13, 2007
Practice Location
- Address
- 601 13TH AVE SE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55414-1437
- Phone
- (651) 734-3268
Authorized Official
- Name
- HOWARD LOUIS MEIER JR., LADC
- Title
- DIRECTOR
- Phone
- (651) 230-1895
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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