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Organization
PHOENIX BEHAVIORAL CENTER,LLC
Active
Organization
PHOENIX BEHAVIORAL CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOY RAMSAY FARAH M.D. (CHIEF MEDICAL DIRECTOR)
(240) 420-0000
Entity
Organization
Contact information
Practice address
1003 THE TER, HAGERSTOWN, MD 21742-3227
(240) 420-0000
(240) 420-0002
Mailing address
101 KING ST, HAGERSTOWN, MD 21740-5732
(240) 420-0000
(240) 420-0002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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