| Phoenix Behavioral Health Llc | |
|
1014 Whitehead Road Ext Ewing NJ 08638-2406 | |
| (609) 771-3777 | |
| Not Available |
| Full Name | Phoenix Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1014 Whitehead Road Ext, Ewing, New Jersey |
| Authorized Official Name and Position | Phil Fuhrer (CFO) |
| Authorized Official Contact | 6097713777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Behavioral Health Llc 1014 Whitehead Road Ext Ewing NJ 08638-2406 Ph: (609) 771-3777 | Phoenix Behavioral Health Llc 1014 Whitehead Road Ext Ewing NJ 08638-2406 Ph: (609) 771-3777 |
| NPI Number | 1013427251 |
|---|---|
| Provider Enumeration Date | 10/02/2017 |
| Last Update Date | 04/26/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013427251 | NPI | - | NPPES |
| 0500411 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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