| NPI | 1407677818 |
|---|---|
| Doing Business As | PHOENIX HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | MARK L HOWARD Owner 540-287-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-12-28 |