Organization · Type 2 NPI

Phoenix Homes #2

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC

NPI number 1679707574 Active

Practice location

5628 Millrace Trl
Raleigh, NC 27606-9227

Fax (919) 231-1456

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	MHL-092-741 (NC)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1679707574

Phoenix Homes #2's National Provider Identifier is 1679707574, issued on May 6, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on May 6, 2009.