Phoenix Recovery House

NPI #1285193979 in Mount Vernon, Washington

Provider Information

NPI Number
1285193979
Entity Type
Organization
Organization Name
Phoenix Recovery House
Subpart
Yes (part of a larger organization)
Parent Organization
PIONEER HUMAN SERVICES
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 13, 2019
Last Updated
Mar 13, 2019

Practice Location

Address
1601 E COLLEGE WAY
ZIP Code
98273-5612
Phone
(360) 848-8437

Authorized Official

Name
MR. ROBERT DENNIS SULLIVAN, CDP, LICSW
Title
DIRECTOR III
Phone
(360) 848-8437

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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