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Phoenix Supported Living Inc
Mental Illness Community Based Residential Treatment Facility in Andrews, North Carolina
NPI 1487700258

Phoenix Supported Living Inc is a Mental Illness Community Based Residential Treatment Facility based in Hayesville, NC. Phoenix Supported Living Inc practices in Andrews, NC. The NPI Number for Phoenix Supported Living Inc is 1487700258 and holds a License No. 7805529 (North Carolina).

The current practice location address for Phoenix Supported Living Inc is 19645 Us 19, Andrews, NC and can be reached out via phone at 828-389-1795 and via fax at 828-389-1658.

Location: 19645 Us 19, Andrews, NC, 28904-7257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487700258
Provider Name
Phoenix Supported Living Inc
Credential
Provider Entity Type
Organization
Address
19645 Us 19, Andrews, NC, 28904-7257
Phone Number
828-389-1795
Fax Number
828-389-1658
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805529 05 NC
institution
Provider Business Practice Location Address Details
Address
19645 Us 19
City
Andrews
State
North Carolina
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider Business Mailing Address Details
Address
19645 Us 19
City
Andrews
State
North Carolina
Zip
28901
Phone Number
828-389-1795
Fax Number
828-389-1658
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
7805529 (North Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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