| Phoenix House | |
|
5 Madison Ave Springfield MA 01105-1403 | |
| (413) 733-6051 | |
| Not Available |
| Full Name | Phoenix House |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 5 Madison Ave, Springfield, Massachusetts |
| Authorized Official Name and Position | Ellen M Waltman (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 4133556832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix House 5 Madison Avenue Springfield MA 01105 Ph: (413) 733-6051 | Phoenix House 5 Madison Ave Springfield MA 01105-1403 Ph: (413) 733-6051 |
| NPI Number | 1023408309 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023408309 | NPI | - | NPPES |
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