PHOENIX HOUSE INC. NPI 1841464492

NPI Information

  • NPI: 1841464492
  • Provider Name: PHOENIX HOUSE INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 23D2312509
  • Address: 57467 WATERWORKS ST
    CALUMET, MI
    ZIP 49913
  • Phone: (906) 337-0763

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NPI Details

PHOENIX HOUSE INC. is a substance abuse rehabilitation facility in Calumet, MI. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PHOENIX HOUSE INC. NPI is 1841464492. The provider is registered as an organization entity type.

The provider's business location address is:

57467 WATERWORKS ST
CALUMET, MI
ZIP 49913-258
Phone: (906) 337-0763
Fax: (906) 337-0768

The provider's authorized official is Mark Allen Maggio .
The authorized official title is Executive Director and has the following contact phone number (906) 337-0763.

The CLIA number assigned to this NPI record is 23D2312509 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 4/15/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility310003MICHIGANYes

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: 3/30/2025

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