Organization · Type 2 NPI
Phoenix House, Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility · Waxhaw, NC
NPI number
1124164405
Active
Practice location
8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
5 other providers at this address
- Phoenix House Child AgencyCustodial Care Facility Waxhaw, NC NPI 1053586065
- Phoenix House Inc.Emotionally Disturbed Childrens' Residential Treatment Facility Waxhaw, NC NPI 1861529398
- Phoenix House, IncEmotionally Disturbed Childrens' Residential Treatment Facility Waxhaw, NC NPI 1942394101
- Leslie TaylorClinical Social Worker Waxhaw, NC NPI 1710308648
- Ralph TaylorProfessional Counselor Waxhaw, NC NPI 1699196535
Other emotionally disturbed childrens' residential treatment facility providers in Waxhaw
About NPI 1124164405
Phoenix House, Inc.'s National Provider Identifier is 1124164405, issued on Jan 30, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Waxhaw, NC. The record was last updated on Aug 22, 2020.