Organization · Type 2 NPI
Phoenix Residential Centers, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Mentor, OH
Practice location
5422 W Heisley Rd
Mentor, OH 44060-1751
Mailing address
PO Box 40
Madison, OH 44057-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Another provider at this address
About NPI 1821429267
Phoenix Residential Centers, Inc.'s National Provider Identifier is 1821429267, issued on Dec 11, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Mentor, OH. The record was last updated on Dec 11, 2013.