| Phoenix Health Services | |
|
5616 Park Heights Ave Baltimore MD 21215-3969 | |
| (443) 878-1111 | |
| Not Available |
| Full Name | Phoenix Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5616 Park Heights Ave, 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 5616 Park Heights Ave Baltimore MD 21215-3969 Ph: (443) 878-1111 | Phoenix Health Services 5616 Park Heights Ave Baltimore MD 21215-3969 Ph: (443) 878-1111 |
| NPI Number | 1023741717 |
|---|---|
| Provider Enumeration Date | 07/08/2022 |
| Last Update Date | 01/09/2025 |
| Certification Date | 01/09/2025 |
| 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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