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Phoenix Group Home Llc
Children's Substance Abuse Rehabilitation Facility in Portsmouth, Ohio
NPI 1083146013

Phoenix Group Home Llc is a Children's Substance Abuse Rehabilitation Facility based in Cincinnati, OH and is specialized in Substance Abuse Treatment, Children. Phoenix Group Home Llc practices in Portsmouth, OH. The NPI Number for Phoenix Group Home Llc is 1083146013 and holds a License No. (Ohio).

The current practice location address for Phoenix Group Home Llc is 902 Gallia St, Portsmouth, OH and can be reached out via phone at 740-529-2125 and via fax at 740-529-2126. You can also correspond with Phoenix Group Home Llc through the mailing address at 3012 GLENMORE AVE, CINCINNATI, OH - 45238-2269 (mailing address contact number: 513-221-3000).

Location: 902 Gallia St, Portsmouth, OH, 45238-2269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083146013
Provider Name
Phoenix Group Home Llc
Credential
Provider Entity Type
Organization
Address
902 Gallia St, Portsmouth, OH, 45238-2269
Phone Number
740-529-2125
Fax Number
740-529-2126
Provider Enumeration Date
03/29/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0241576 05 OH
institution
Provider Business Practice Location Address Details
Address
902 Gallia St
City
Portsmouth
State
Ohio
Zip
45662-4139
Phone Number
740-529-2125
Fax Number
740-529-2126
person
Provider Business Mailing Address Details
Address
902 Gallia St
City
Portsmouth
State
Ohio
Zip
45662-4139
Phone Number
740-529-2125
Fax Number
740-529-2126
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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