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PHOENIX-RESTORATION FACILITIES INC. NPI 1962658377


NPI Information

NPI: 1962658377
Provider Name: PHOENIX-RESTORATION FACILITIES, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
5118 STAGE RD
MEMPHIS, TN
ZIP 38134
Phone: (901) 377-6640
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PHOENIX-RESTORATION FACILITIES, INC. is an addiction (substance use disorder) counselor in Memphis, TN. PHOENIX-RESTORATION FACILITIES, INC. NPI is 1962658377. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5118 STAGE RD
MEMPHIS, TN
ZIP 38134-166
Phone: (901) 377-6640
Fax: (901) 377-2450

The provider's authorized official is C Eric Lincoln .
The authorized official title is Chairman and has the following contact phone number (901) 377-6640.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 8/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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