| Phoenix-restoration Facilities, Inc. | |
|
5118 Stage Rd Memphis TN 38134-3166 | |
| (901) 377-6640 | |
| (901) 377-2450 |
| Full Name | Phoenix-restoration Facilities, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5118 Stage Rd, Memphis, Tennessee |
| Authorized Official Name and Position | C Eric Lincoln (CHAIRMAN) |
| Authorized Official Contact | 9013776640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix-restoration Facilities, Inc. 5118 Stage Rd Memphis TN 38134-3166 Ph: (901) 377-6640 | Phoenix-restoration Facilities, Inc. 5118 Stage Rd Memphis TN 38134-3166 Ph: (901) 377-6640 |
| NPI Number | 1962658377 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962658377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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