Phoenix House
NPI #1023408309 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1023408309
- Entity Type
- Organization
- Organization Name
- Phoenix House
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jan 26, 2015
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 5 MADISON AVE
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01105-1403
- Phone
- (413) 733-6051
Authorized Official
- Name
- ELLEN M WALTMAN, MED,LMHC
- Title
- CLINICAL SUPERVISOR
- Phone
- (413) 355-6832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Exclusive Provider Organization |
| Substance Abuse Rehabilitation Facility |
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