Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX OUTDOOR
Active OrganizationPHOENIX OUTDOOR is a Children's Substance Abuse Rehabilitation Facility organization located in LEICESTER, North Carolina. NPI 1750522058 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · LEICESTER, NC
Registration Details
- NPI Number
- 1750522058
- Provider Type
- Organization
- NPI Issued
- Mar 16, 2009 (17.457601149004 yrs)
- Last Updated
- Mar 16, 2009
- Licenses
-
MHL-011-279 (NC)MHL-011-279 (NC)
Practice Information
- Address
-
631 WILLOW CREEK RDLEICESTER, NC, 287485646Browse NC providers · Browse ZIP 28748
- Phone
- 8286837718
- Fax
- 8286839995
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
- Additional Specialty
- Children's Substance Abuse Rehabilitation Facility
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.