| 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 (COO) |
| 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 | 1346956612 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 02/06/2023 |
| Certification Date | 02/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346956612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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