| Phoenix Behavioral Health Llc | |
|
31 Pine Street, Suite 207 Norfolk MA 02056 | |
| (508) 623-3931 | |
| (508) 623-3939 |
| Full Name | Phoenix Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 31 Pine Street, Suite 207, Norfolk, Massachusetts |
| Authorized Official Name and Position | Dawn Lorraine Parks (OWNER) |
| Authorized Official Contact | 5086233931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Behavioral Health Llc 2490 Maple Swamp Road North Dighton MA 02764 Ph: (508) 685-5436 | Phoenix Behavioral Health Llc 31 Pine Street, Suite 207 Norfolk MA 02056 Ph: (508) 623-3931 |
| NPI Number | 1659962728 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659962728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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