Organization · Type 2 NPI

Phoenix Home #1

Mental Illness Community Based Residential Treatment Facility · Raleigh, NC

NPI number 1194963371 Active

Practice location

2726 Newsome St
Raleigh, NC 27603-2956

Fax (919) 325-0671

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X092734

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 1194963371

Phoenix Home #1's National Provider Identifier is 1194963371, issued on Jan 27, 2009. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Raleigh, NC. The record was last updated on Jan 27, 2009.