Organization · Type 2 NPI

Phoenix Supported Living Inc.

Mental Illness Community Based Residential Treatment Facility · Andrews, NC

NPI number 1083750228 Active

Practice location

19 645 Hwy 19
Andrews, NC 28901

Fax (828) 389-1658

Mailing address

2996 Nc 69, Suite 6
Hayesville, NC 28904-7257

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X8300926 (NC)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1083750228

Phoenix Supported Living Inc.'s National Provider Identifier is 1083750228, issued on Jan 29, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Andrews, NC. The record was last updated on Aug 22, 2020.