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PHOENIX CENTER COMMUNITY SERVICE BOARD NPI 1114195914


NPI Information

NPI: 1114195914
Provider Name: PHOENIX CENTER COMMUNITY SERVICE BOARD

Doing Business As: PHOENIX CENTER BHS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
80 WRIGHT AVE
ROBERTA, GA
ZIP 31078
Phone: (478) 988-1002
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PHOENIX CENTER COMMUNITY SERVICE BOARD is a community behavioral health in Roberta, GA. The provider is 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. PHOENIX CENTER COMMUNITY SERVICE BOARD NPI is 1114195914. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Center Bhs.

The provider's business location address is:

80 WRIGHT AVE
ROBERTA, GA
ZIP 31078
Phone: (478) 988-1002
Fax: (478) 988-8780

The provider's authorized official is Sandra Olsen .
The authorized official title is Cfo and has the following contact phone number (478) 988-1002.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 2/14/2008.


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
1251S00000XCommunity/Behavioral HealthGEORGIAYes

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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