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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHOENIX ADOLESCENT OUTPATIENT TREATMENT

Active Organization

PHOENIX ADOLESCENT OUTPATIENT TREATMENT is a Community/Behavioral Health organization located in MAPLEWOOD, Minnesota. NPI 1588833271 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · MAPLEWOOD, MN

Registration Details

NPI Number
1588833271
Provider Type
Organization
NPI Issued
Feb 27, 2008 (18.476258671365 yrs)
Last Updated
Feb 27, 2008
License
1048347-1-CDT (MN)

Practice Information

Address
2055 WHITE BEAR AVE N
MAPLEWOOD, MN, 551093716
Browse MN providers · Browse ZIP 55109
Phone
6517343268
Fax
6123784886
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Organizations in MAPLEWOOD, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.