PHOENIX CENTER NPI 1861892259

NPI Information

PHOENIX CENTER is a substance abuse rehabilitation facility in Greenville, SC. 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 CENTER NPI is 1861892259. The provider is registered as an organization entity type.

The provider's business location address is:

1400 CLEVELAND ST
GREENVILLE, SC
ZIP 29607-410
Phone: (864) 467-3073
Fax: (864) 467-3114

The provider's authorized official is Deborah Johnson .
The authorized official title is Mat Mgr. and has the following contact phone number (864) 467-3790.

The CLIA number assigned to this NPI record is 42D1014412 - comprehensive outpatient rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.

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:

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