Phoenix House, INC
NPI #1942394101 in Waxhaw, North Carolina
Provider Information
- NPI Number
- 1942394101
- Entity Type
- Organization
- Organization Name
- Phoenix House, INC
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 8916 WOODHALL LAKE DR
- City
- Waxhaw
- State
- North Carolina
- 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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