Phoenix Health Services | |
2115 N Charles St Ste 100&200 Baltimore MD 21218-5760 | |
(443) 878-1111 | |
(443) 330-3858 |
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 | 4436313303 |
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 21218-5762 Ph: (443) 631-3303 | Phoenix Health Services 2115 N Charles St Ste 100&200 Baltimore MD 21218-5760 Ph: (443) 878-1111 |
NPI Number | 1992438683 |
---|---|
Provider Enumeration Date | 07/08/2022 |
Last Update Date | 02/10/2023 |
Certification Date | 02/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992438683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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