The Phoenix Recovery Support Services and Sober Living Environments Ll

NPI #1225769847 in Canton, Ohio

Provider Information

NPI Number: 1225769847
Entity Type: Organization
Organization Name: The Phoenix Recovery Support Services and Sober Living Environments Ll
Primary Specialty: Peer Specialist
Enumeration Date: Jun 23, 2022
Last Updated: Feb 7, 2023

Practice Location

Address: 3311 12TH ST NW
City: Canton
State: Ohio
ZIP Code: 44708-3909
Phone: (234) 214-9731

Authorized Official

Name: MR. KOREY ALAN MCCREERY, PRSS
Title: CHIEF OPERATING OFFICER
Phone: (234) 214-9731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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