Organization · Type 2 NPI

Phoenix House Foundation

Substance Abuse Rehabilitation Facility · Long Island City, NY

NPI number 1790844520 Active

Practice location

3411 Vernon Blvd
Long Island City, NY 11106-5121

Mailing address

9328 85th Rd
Woodhaven, NY 11421-1418

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X414715-1 (NY)

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.

9 other providers at this address

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About NPI 1790844520

Phoenix House Foundation's National Provider Identifier is 1790844520, issued on Dec 7, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Long Island City, NY. The record was last updated on Aug 22, 2020.