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Phoenix Health Center Llc
Substance Use Disorder Rehabilitation Clinic/Center in Hagerstown, Maryland
NPI 1679971097

Phoenix Health Center Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Dallas, MD and is specialized in Rehabilitation, Substance Use Disorder. Phoenix Health Center Llc practices in Hagerstown, MD. The NPI Number for Phoenix Health Center Llc is 1679971097 and holds a License No. (Maryland).

The current practice location address for Phoenix Health Center Llc is 217 E Antietam St, Hagerstown, MD and can be reached out via phone at 240-420-0000 and via fax at 240-420-0002.

Location: 217 E Antietam St, Hagerstown, MD, 75244-3946
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679971097
Provider Name
Phoenix Health Center Llc
Credential
Provider Entity Type
Organization
Address
217 E Antietam St, Hagerstown, MD, 75244-3946
Phone Number
240-420-0000
Fax Number
240-420-0002
Provider Enumeration Date
12/17/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330305500 05 MD
institution
Provider Business Practice Location Address Details
Address
217 E Antietam St
City
Hagerstown
State
Maryland
Zip
21740-5724
Phone Number
240-420-0000
Fax Number
240-420-0002
person
Provider Business Mailing Address Details
Address
217 E Antietam St
City
Hagerstown
State
Maryland
Zip
21740-5724
Phone Number
240-420-0000
Fax Number
240-420-0002
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
MD10126M (Maryland)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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