Phoenix Recovery House
Substance Abuse Rehabilitation Facility in Pleasantville, NJ. Organization (NPI-2).
NPI number1164021820
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1164021820
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Recovery House
- Organization subpart
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Phoenix Recovery (Doing Business As)
Practice location
109 S Main StPleasantville, NJ 08232-2729
Phone 610-350-9100 · Fax 302-655-5317
Mailing address
611 Weir RdAston, PA 19014-1634
Phone 610-350-9100 · Fax 302-655-5317
Authorized official
William Gray McKee
Ceo
6103509100
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