Organization · Type 2 NPI
Phoenix Adolescent Outpatient Treatment
Community/Behavioral Health Agency · Maplewood, MN
Practice location
2055 White Bear Ave N
Maplewood, MN 55109-3716
Fax (612) 378-4886
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 1048347-1-CDT (MN) |
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…
4 other providers at this address
- Hope Michelle Carlson, LADCAddiction (Substance Use Disorder) Counselor Maplewood, MN NPI 1568749448
- Michelle Lee Vesledahl, LADCAddiction (Substance Use Disorder) Counselor Maplewood, MN NPI 1467035477
- Patrick Michael McDonald, L.A.D.C.Counselor Maplewood, MN NPI 1710266481
- Steven Mark Blazing Jr., BS, LSWSocial Worker Maplewood, MN NPI 1770017923
Other community/behavioral health agency providers in Maplewood
About NPI 1588833271
Phoenix Adolescent Outpatient Treatment's National Provider Identifier is 1588833271, issued on Feb 27, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Maplewood, MN. The record was last updated on Feb 27, 2008.