| NPI | 1669297560 |
|---|---|
| Doing Business As | PHOENIX HOUSE |
| Entity Type | Organization |
| Authorized Contact | RYAN YORK Owner 253-376-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |