| Phoenix Houses Of New England, Inc. | |
|
99 Wayland Ave Suite 100 Providence RI 02906-4314 | |
| (401) 331-4250 | |
| (401) 421-5520 |
| Full Name | Phoenix Houses Of New England, Inc. |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 99 Wayland Ave, Providence, Rhode Island |
| Authorized Official Name and Position | Peter Mumma (PRESIDENT/ CEO) |
| Authorized Official Contact | 4013314250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Houses Of New England, Inc. 99 Wayland Ave Suite 100 Providence RI 02906-4314 Ph: (401) 331-4250 | Phoenix Houses Of New England, Inc. 99 Wayland Ave Suite 100 Providence RI 02906-4314 Ph: (401) 331-4250 |
| NPI Number | 1992884787 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 04/09/2021 |
| Certification Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992884787 | NPI | - | NPPES |
| 410878 | Other | BC RI | |
| 9202 | Other | RI | NHP RI |
| 9515 | Other | RI | NHP RI |
| 15601000 | Other | ME | MAINECARE |
| 15601001 | Other | ME | MAINECARE |
| 203388 | Other | BC RI | |
| MA04867 | Medicaid | RI | |
| 6988 | Other | BC RI | |
| 30766 | Other | BC RI | |
| 1009585 | Medicaid | VT | |
| 1006554 | Medicaid | VT | |
| 1009358 | Medicaid | VT | |
| 410875 | Other | BC RI | |
| 9203 | Other | RI | NHP RI |
| 1002232 | Medicaid | VT | |
| 30007117 | Medicaid | NH | |
| 30763 | Other | BC RI | |
| 467656 | Other | MOHEGAN SUN VALUE OPTIONS | |
| 9192 | Other | RI | NHP RI |
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