Organization · Type 2 NPI
Phoenix House
Substance Abuse Rehabilitation Facility · Springfield, MA
NPI number
1023408309
Active
Practice location
5 Madison Ave
Springfield, MA 01105-1403
Mailing address
5 Madison Avenue
Springfield, MA 01105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 745 (MA) |
| Exclusive Provider Organization | 302F00000X | 745 (MA) |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 745 (MA) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Another provider at this address
Other substance abuse rehabilitation facility providers in Springfield
About NPI 1023408309
Phoenix House's National Provider Identifier is 1023408309, issued on Jan 26, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Springfield, MA. The record was last updated on Jan 26, 2015.