Organization · Type 2 NPI

Phoenix Therapeutic Foundation

Community/Behavioral Health Agency · Baltimore, MD

NPI number 1336333079 Active

Practice location

5602 Baltimore National Pike, Suburbia Bldg - Suite # 508/6
Baltimore, MD 21228-1411

Fax (410) 747-0226

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XD0016432 (MD)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1336333079

Phoenix Therapeutic Foundation's National Provider Identifier is 1336333079, issued on Sep 5, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 27, 2012.