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Phoenix Adolescent Outpatient Treatment
Community/Behavioral Health Agency in Minneapolis, Minnesota
NPI 1003096447

Phoenix Adolescent Outpatient Treatment is a Community/Behavioral Health Agency based in Woodbury, MN. Phoenix Adolescent Outpatient Treatment practices in Minneapolis, MN. The NPI Number for Phoenix Adolescent Outpatient Treatment is 1003096447 and holds a License No. 1034578-1-CDT (Minnesota).

The current practice location address for Phoenix Adolescent Outpatient Treatment is 601 13Th Ave Se, Minneapolis, MN and can be reached out via phone at 651-734-3268 and via fax at 612-378-4886. You can also correspond with Phoenix Adolescent Outpatient Treatment through the mailing address at 1011 INTERLACHEN PKWY, WOODBURY, MN - 55125-8852 (mailing address contact number: 651-230-0849).

Location: 601 13Th Ave Se, Minneapolis, MN, 55125-8852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003096447
Provider Name
Phoenix Adolescent Outpatient Treatment
Credential
Provider Entity Type
Organization
Address
601 13Th Ave Se, Minneapolis, MN, 55125-8852
Phone Number
651-734-3268
Fax Number
612-378-4886
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 13Th Ave Se
City
Minneapolis
State
Minnesota
Zip
55414-1437
Phone Number
651-734-3268
Fax Number
612-378-4886
person
Provider Business Mailing Address Details
Address
601 13Th Ave Se
City
Minneapolis
State
Minnesota
Zip
55414-1437
Phone Number
651-734-3268
Fax Number
612-378-4886
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1034578-1-CDT (Minnesota)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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