| Phoenix Recovery Services, Llc | |
|
1601 E College Way Mount Vernon WA 98273-5612 | |
| (360) 848-8437 | |
| (360) 848-5250 |
| Full Name | Phoenix Recovery Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1601 E College Way, Mount Vernon, Washington |
| Authorized Official Name and Position | Carol Ruth Hundahl (OWNER) |
| Authorized Official Contact | 3608488437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Recovery Services, Llc 1601 E College Way Mount Vernon WA 98273-5612 Ph: (360) 848-8437 | Phoenix Recovery Services, Llc 1601 E College Way Mount Vernon WA 98273-5612 Ph: (360) 848-8437 |
| NPI Number | 1760506315 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760506315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 29114900 (Washington) | Primary |
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