Organization · Type 2 NPI
Phoenix Rehabilitation Services LLC
Substance Abuse Rehabilitation Facility · Mount Vernon, KY
NPI number
1174484596
Active
Practice location
2184 S Wilderness Rd
Mount Vernon, KY 40456-7631
Fax (606) 256-0008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
About NPI 1174484596
Phoenix Rehabilitation Services LLC's National Provider Identifier is 1174484596, issued on Nov 24, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mount Vernon, KY. The record was last updated on Jul 6, 2026.