Green Phoenix Behavioral Health Services
NPI #1023875010 in Dallas, Pennsylvania
Provider Information
- NPI Number
- 1023875010
- Entity Type
- Organization
- Organization Name
- Green Phoenix Behavioral Health Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 5, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 3154 MEMORIAL HWY STE 100
- City
- Dallas
- State
- Pennsylvania
- ZIP Code
- 18612-9203
- Phone
- (570) 855-9404
Authorized Official
- Name
- AMANDA LEAH RODRIGUEZ ROGERS, LPC
- Title
- OWNER
- Phone
- (570) 855-9404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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