| NPI | 1962083543 |
|---|---|
| Doing Business As | PHOENIX HOUSE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN FITZGERALD Owner 928-899-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 291U00000X Clinical Medical Laboratory | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-08-16 |