Phoenix Place

NPI #1053128439 in Amelia, Ohio

Provider Information

NPI Number: 1053128439
Entity Type: Organization
Organization Name: Phoenix Place
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 4 CECELIA DR
City: Amelia
State: Ohio
ZIP Code: 45102-1906
Phone: (513) 752-6170

Authorized Official

Name: ZOE FISCUS DOSS
Title: EXECUTIVE DIRECTOR
Phone: (513) 752-6170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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