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Organization
PHOENIX THERAPEUTIC FOUNDATION, INC
Active
Organization
PHOENIX THERAPEUTIC FOUNDATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMR A ELBESHIR M.A. (CEO)
(410) 744-9100
Entity
Organization
Contact information
Practice address
5602 BALTIMORE NATIONAL PIKE, SUITE 700, BALTIMORE, MD 21228-1411
(410) 744-9100
(410) 747-0226
Mailing address
5602 BALTIMORE NATIONAL PIKE, SUITE 700, BALTIMORE, MD 21228-1411
(410) 744-9100
(410) 747-0226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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