| Phoenix House Llc | |
|
258 Montague Street Danville VA 24541 | |
| (540) 287-3460 | |
| Not Available |
| Full Name | Phoenix House Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 258 Montague Street, Danville, Virginia |
| Authorized Official Name and Position | Lori H Thurman (CFO) |
| Authorized Official Contact | 4344894931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix House Llc 233 W Main St Danville VA 24541-2850 Ph: (540) 287-3460 | Phoenix House Llc 258 Montague Street Danville VA 24541 Ph: (540) 287-3460 |
| NPI Number | 1407677818 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407677818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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