Phoenix Health Services | |
2115 N Charles St Ste 100&200 Baltimore MD 21218-5760 | |
(443) 878-1111 | |
Not Available |
Full Name | Phoenix Health Services |
---|---|
Speciality | Community/behavioral Health |
Location | 2115 N Charles St Ste 100&200, Baltimore, Maryland |
Authorized Official Name and Position | Nicole Lively (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 4438781111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Health Services 2115 N Charles St Ste 100&200 Baltimore MD 21218-5760 Ph: (443) 878-1111 | Phoenix Health Services 2115 N Charles St Ste 100&200 Baltimore MD 21218-5760 Ph: (443) 878-1111 |
NPI Number | 1023741717 |
---|---|
Provider Enumeration Date | 07/08/2022 |
Last Update Date | 02/10/2023 |
Certification Date | 02/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023741717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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