PHOENIX HOME #1

RALEIGH, NC
NPI1194963371
Entity TypeOrganization
Authorized ContactZULU NWANKWO
Administrator
919-771-4517
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence:   092734)
Enumeration Date2009-01-27
Last Update Date2009-01-27
Business Address
PHOENIX HOME #1
2726 NEWSOME ST
RALEIGH, NC 27603-2956
Phone number: 919-771-4517
Mailing Address
PHOENIX HOME #1
2726 NEWSOME ST
RALEIGH, NC 27603-2956
Phone number: 919-771-4517