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Phoenix Adolescent Outpatient Treatment
Community/Behavioral Health Agency in Maplewood, Minnesota
NPI 1588833271

Phoenix Adolescent Outpatient Treatment is a Community/Behavioral Health Agency based in Woodbury, MN. Phoenix Adolescent Outpatient Treatment practices in Maplewood, MN. The NPI Number for Phoenix Adolescent Outpatient Treatment is 1588833271 and holds a License No. 1048347-1-CDT (Minnesota).

The current practice location address for Phoenix Adolescent Outpatient Treatment is 2055 White Bear Ave N, Maplewood, 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: 2055 White Bear Ave N, Maplewood, MN, 55125-8852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588833271
Provider Name
Phoenix Adolescent Outpatient Treatment
Credential
Provider Entity Type
Organization
Address
2055 White Bear Ave N, Maplewood, MN, 55125-8852
Phone Number
651-734-3268
Fax Number
612-378-4886
Provider Enumeration Date
02/27/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2055 White Bear Ave N
City
Maplewood
State
Minnesota
Zip
55109-3716
Phone Number
651-734-3268
Fax Number
612-378-4886
person
Provider Business Mailing Address Details
Address
2055 White Bear Ave N
City
Maplewood
State
Minnesota
Zip
55109-3716
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.
1048347-1-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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