| NPI | 1275134058 |
|---|---|
| Other Name | PHOENIX CONCEPT |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL AHLES Deputy Director 720-259-8865 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-12-28 |