Organization · Type 2 NPI
The Phoenix House LLC
Substance Use Disorder Rehabilitation Clinic/Center · Middlesboro, KY
NPI number
1194660936
Active
Practice location
106 Chasteen Dr
Middlesboro, KY 40965-2519
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
About NPI 1194660936
The Phoenix House LLC's National Provider Identifier is 1194660936, issued on Apr 20, 2026. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Middlesboro, KY. The record was last updated on Apr 20, 2026.