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1053586065
PHOENIX HOUSE CHILD AGENCY
WAXHAW, NC
NPI
1053586065
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Entity Type
Organization
Authorized Contact
LESLIE TAYLOR
Social Worker
704-536-7931
Organization Subpart ?
No
Primary Taxonomy
311Z00000X Custodial Care Facility
Enumeration Date
2008-04-30
Last Update Date
2008-04-30
Business Address
PHOENIX HOUSE CHILD AGENCY
8916 WOODHALL LAKE DR
WAXHAW, NC 28173-6800
Phone number: 704-536-7931
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Mailing Address
PHOENIX HOUSE CHILD AGENCY
8916 WOODHALL LAKE DR
WAXHAW, NC 28173-6800
Phone number: 704-536-7931
Copy