Phoenix House Child Agency
NPI #1053586065 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1053586065
- Entity Type
- Organization
- Organization Name
- Phoenix House Child Agency
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Apr 30, 2008
- Last Updated
- Apr 30, 2008
Practice Location
- Address
- 8916 WOODHALL LAKE DR
- City
- Waxhaw
- State
- North Carolina
- ZIP Code
- 28173-6800
- Phone
- (704) 536-7931
Authorized Official
- Name
- MISS LESLIE TAYLOR
- Title
- SOCIAL WORKER
- Phone
- (704) 536-7931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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