| Phoenix Recovery House | |
|
1601 E College Way Mount Vernon WA 98273-5612 | |
| (360) 848-8437 | |
| Not Available |
| Full Name | Phoenix Recovery House |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1601 E College Way, Mount Vernon, Washington |
| Authorized Official Name and Position | Robert Dennis Sullivan (DIRECTOR III) |
| Authorized Official Contact | 3608488437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Recovery House 7440 W Marginal Way S Seattle WA 98108-4141 Ph: () - | Phoenix Recovery House 1601 E College Way Mount Vernon WA 98273-5612 Ph: (360) 848-8437 |
| NPI Number | 1285193979 |
|---|---|
| Provider Enumeration Date | 03/13/2019 |
| Last Update Date | 03/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285193979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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