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Phoenix House, Inc
Emotionally Disturbed Childrens' Residential Treatment Facility in Waxhaw, North Carolina
NPI 1942394101

Phoenix House, Inc is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Waxhaw, NC. Phoenix House, Inc practices in Waxhaw, NC. The NPI Number for Phoenix House, Inc is 1942394101 and holds a License No. 322D00000X (North Carolina).

The current practice location address for Phoenix House, Inc is 8916 Woodhall Lake Dr, Waxhaw, NC and can be reached out via phone at 704-536-7931.

Location: 8916 Woodhall Lake Dr, Waxhaw, NC, 28173-6800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942394101
Provider Name
Phoenix House, Inc
Credential
Provider Entity Type
Organization
Address
8916 Woodhall Lake Dr, Waxhaw, NC, 28173-6800
Phone Number
704-536-7931
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603417 05 NC
institution
Provider Business Practice Location Address Details
Address
8916 Woodhall Lake Dr
City
Waxhaw
State
North Carolina
Zip
28173-6800
Phone Number
704-536-7931
Fax Number
person
Provider Business Mailing Address Details
Address
8916 Woodhall Lake Dr
City
Waxhaw
State
North Carolina
Zip
28173-6800
Phone Number
704-536-7931
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
322D00000X (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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