PHOENIX BEHAVIORAL HEALTH LLC NPI 1144787078

NPI Information

NPI: 1144787078
Provider Name: PHOENIX BEHAVIORAL HEALTH LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

CLIA Number: 31D2190596

Address:
102 BROWNING LN STE C3
CHERRY HILL, NJ
ZIP 08003
Phone: (609) 771-3777
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PHOENIX BEHAVIORAL HEALTH LLC is an adult mental health clinic center in Cherry Hill, NJ. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. PHOENIX BEHAVIORAL HEALTH LLC NPI is 1144787078. The provider is registered as an organization entity type.

The provider's business location address is:

102 BROWNING LN STE C3
CHERRY HILL, NJ
ZIP 08003-195
Phone: (609) 771-3777

The provider's authorized official is Phil Fuhrer .
The authorized official title is Cfo and has the following contact phone number (609) 771-3777.

The CLIA number assigned to this NPI record is 31D2190596 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2019 and was last updated on 2/27/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health			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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