| Phoenix Training Institute | |
|
1147 W Liberty St Allentown PA 18102-2738 | |
| (610) 737-0499 | |
| Not Available |
| Full Name | Phoenix Training Institute |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1147 W Liberty St, Allentown, Pennsylvania |
| Authorized Official Name and Position | Larue Carrigan-houser (DIRECTOR) |
| Authorized Official Contact | 6107370499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Training Institute 1147 W Liberty St Allentown PA 18102-2738 Ph: () - | Phoenix Training Institute 1147 W Liberty St Allentown PA 18102-2738 Ph: (610) 737-0499 |
| NPI Number | 1265885610 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265885610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 397049 (Pennsylvania) | Primary |
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