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Phoenix Domus
Addiction (Substance Use Disorder) Counselor in Altoona, Pennsylvania
NPI 1336728724

Phoenix Domus is an Addiction (Substance Use Disorder) Counselor based in Altoona, PA and is specialized in Addiction (Substance Use Disorder). Phoenix Domus practices in Altoona, PA. The NPI Number for Phoenix Domus is 1336728724 and holds a License No. (Pennsylvania).

The current practice location address for Phoenix Domus is 114 Beech Ave, Altoona, PA and can be reached out via phone at 814-502-5157.

Location: 114 Beech Ave, Altoona, PA, 16601-4235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336728724
Provider Name
Phoenix Domus
Credential
Provider Entity Type
Organization
Address
114 Beech Ave, Altoona, PA, 16601-4235
Phone Number
814-502-5157
Fax Number
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
077037 05 PA
institution
Provider Business Practice Location Address Details
Address
114 Beech Ave
City
Altoona
State
Pennsylvania
Zip
16601-4235
Phone Number
814-502-5157
Fax Number
person
Provider Business Mailing Address Details
Address
114 Beech Ave
City
Altoona
State
Pennsylvania
Zip
16601-4235
Phone Number
814-502-5157
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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