| NPI | 1063037364 |
|---|---|
| Doing Business As | PHOENIX HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOEL K GOLOSKIE Counsel 617-771-1154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |