Phoenix House, Inc.

NPI #1124164405 in Waxhaw, North Carolina

Provider Information

NPI Number
1124164405
Entity Type
Organization
Organization Name
Phoenix House, Inc.
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jan 30, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
8916 WOODHALL LAKE DR
City
Waxhaw
ZIP Code
28173-6800
Phone
(704) 536-7931

Authorized Official

Name
LESLIE TAYLOR
Title
DIRECTOR
Phone
(704) 536-7931

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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