Organization · Type 2 NPI
Phoenix Domus
Substance Abuse Rehabilitation Facility · Altoona, PA
NPI number
1336728724
Active
Practice location
114 Beech Ave
Altoona, PA 16601-4235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| 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 1336728724
Phoenix Domus's National Provider Identifier is 1336728724, issued on Apr 5, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Altoona, PA. The record was last updated on Jun 24, 2026.