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PHOENIX RESOURCE CENTER INC. NPI 1861750911


NPI Information

NPI: 1861750911
Provider Name: PHOENIX RESOURCE CENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
506 TANNER ST
CARROLLTON, GA
ZIP 30117
Phone: (770) 834-0021
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PHOENIX RESOURCE CENTER, INC. is a community behavioral health in Carrollton, 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 RESOURCE CENTER, INC. NPI is 1861750911. The provider is registered as an organization entity type.

The provider's business location address is:

506 TANNER ST
CARROLLTON, GA
ZIP 30117-304
Phone: (770) 834-0021
Fax: (678) 648-5594

The provider's authorized official is Elizabeth Reaves .
The authorized official title is Chief Operating Officer and has the following contact phone number (770) 834-0021.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 4/26/2012.


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
1251S00000XCommunity/Behavioral HealthYes

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: 5/5/2024

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