Organization · Type 2 NPI
Phoenix Recovery, LLC
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1861053183
Active
Practice location
4270 Main St Ste 200
Bridgeport, CT 06606-2306
Mailing address
14 Marie Dr Apt 12
Seymour, CT 06483-3665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1861053183
Phoenix Recovery, LLC's National Provider Identifier is 1861053183, issued on Jun 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Jun 26, 2019.