PHOENIX GROUP HOME LLC

PORTSMOUTH, OH
NPI1083146013
Doing Business AsPATH INTEGRATED HEALTHCARE
Entity TypeOrganization
Authorized ContactMARSHAL LUNT
Owner
801-560-3822
Organization Subpart ?No
Primary Taxonomy251S00000X 
Additional Taxonomies3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children
Enumeration Date2017-03-29
Last Update Date2024-11-12
Business Address
PHOENIX GROUP HOME LLC
902 GALLIA ST
PORTSMOUTH, OH 45662-4139
Phone number: 740-529-2125
Mailing Address
PHOENIX GROUP HOME LLC
PO BOX 900926
SANDY, UT 84090-0926
Phone number: 740-858-1659