Organization · Type 2 NPI

Phoenix Adolescent Outpatient Treatment

Community/Behavioral Health Agency · Minneapolis, MN

NPI number 1003096447 Active

Practice location

601 13th Ave SE
Minneapolis, MN 55414-1437

Call (651) 734-3268 Map

Fax (612) 378-4886

Mailing address

1011 Interlachen Pkwy
Woodbury, MN 55125-8852

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X1034578-1-CDT (MN)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1003096447

Phoenix Adolescent Outpatient Treatment's National Provider Identifier is 1003096447, issued on Nov 13, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 13, 2007.