Organization · Type 2 NPI

Phoenix House, Inc

Emotionally Disturbed Childrens' Residential Treatment Facility · Charlotte, NC

NPI number 1447396718 Active

Practice location

7800 Pence Pond Ln
Charlotte, NC 28227-2449

Call (704) 536-7931 Map

Mailing address

8916 Woodhall Lake Dr
Waxhaw, NC 28173-6800

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1447396718

Phoenix House, Inc's National Provider Identifier is 1447396718, issued on Jan 30, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.