Organization · Type 2 NPI

Phoenix Outdoor

Children's Substance Abuse Rehabilitation Facility · Leicester, NC

NPI number 1750522058 Active

Practice location

631 Willow Creek Rd
Leicester, NC 28748-5646

Call (828) 683-7718 Map

Fax (828) 683-9995

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000XMHL-011-279 (NC)
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XMHL-011-279 (NC)

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

16 other providers at this address

About NPI 1750522058

Phoenix Outdoor's National Provider Identifier is 1750522058, issued on Mar 16, 2009. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Leicester, NC. The record was last updated on Mar 16, 2009.