Organization · Type 2 NPI

Phoenix Programs of Florida, Inc.

Community/Behavioral Health Agency · Brandon, FL

NPI number 1962542423 Active

Practice location

510 Vonderburg Dr., Suite 301
Brandon, FL 33511-6072

Fax (813) 689-2856

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	1329AD294801 (FL)
Substance Abuse Rehabilitation Facility	324500000X	0542AD294801 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1962542423
Entity type: Organization (Type 2)
Issued: Feb 7, 2007
Last updated: Jan 24, 2018
Status: Active
Subpart: Yes of Phoenix House Foundation, Inc.

Other names

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Phoenix Houses of Florida · doing business as

Authorized official

Maria Alvarez
Executive VP. & Regional Director
(813) 881-1000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962542423

Phoenix Programs of Florida, Inc.'s National Provider Identifier is 1962542423, issued on Feb 7, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Brandon, FL. The record was last updated on Jan 24, 2018.