| NPI | 1205691755 |
|---|---|
| Other Name | PHOENIX RECOVERY LLC |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY J LOHMAN Co Founder 608-893-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-06-10 |