Phoenix House Inc., NPI 1841464492
Substance Abuse Rehabilitation Facility in Calumet, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1841464492
NPI Entity Type Organization
Provider Name Phoenix House Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 57467 Waterworks St, Calumet, MI, US
Provider Mailing Address 57467 Waterworks St, Po Box 468, Calumet, MI, US, 499131258
Is Sole Proprietor? No
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Organization Official

Official Name MR. BA, CAC-R Mark Allen Maggio
Official Position EXECUTIVE DIRECTOR
Phone 906-337-0763

Primary Taxonomy

Taxonomy Code

324500000X

Taxonomy Name Substance Abuse Rehabilitation Facility
Classification

Substance Abuse Rehabilitation Facility

Group

Residential Treatment Facilities

License No. 310003
License State MI
Description A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Business Address

Phoenix House Inc.
57467 Waterworks St

Calumet, MI, US

Phone: 906-337-0763
Fax: 906-337-0768

Mailing Address

Phoenix House Inc.
57467 Waterworks St
Po Box 468
Calumet, MI, US
ZIP 499131258
Phone: 906-337-0763
Fax: 906-337-0768

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