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Phoenix Group Home, Llc
Children's Substance Abuse Rehabilitation Facility in Cincinnati, Ohio
NPI 1336654854

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 Cincinnati, OH. The NPI Number for Phoenix Group Home, Llc is 1336654854 and holds a License No. (Ohio).

The current practice location address for Phoenix Group Home, Llc is 3012 Glenmore Ave Ste 104, Cincinnati, OH and can be reached out via phone at 740-858-1659 and via fax at 740-876-9213.

Location: 3012 Glenmore Ave Ste 104, Cincinnati, OH, 45238-2258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336654854
Provider Name
Phoenix Group Home, Llc
Credential
Provider Entity Type
Organization
Address
3012 Glenmore Ave Ste 104, Cincinnati, OH, 45238-2258
Phone Number
740-858-1659
Fax Number
740-876-9213
Provider Enumeration Date
12/06/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
3012 Glenmore Ave Ste 104
City
Cincinnati
State
Ohio
Zip
45238-2258
Phone Number
740-858-1659
Fax Number
740-876-9213
person
Provider Business Mailing Address Details
Address
3012 Glenmore Ave Ste 104
City
Cincinnati
State
Ohio
Zip
45238-2258
Phone Number
740-858-1659
Fax Number
740-876-9213
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
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 individuals with disorders in the abuse of drugs, alcohol, and other substances.
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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