# PHOENIX BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528561933
- **Authorized official:** PHIL FUHRER (CFO)
- **Authorized official phone:** (609) 771-3777

## Contact information

- **Practice address:** 1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
- **Practice address phone:** (609) 771-3777
- **Mailing address:** 1014 WHITEHEAD ROAD EXT, EWING, NJ 08638-2406
- **Mailing address phone:** (609) 771-3777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/12/2018
- **Last updated:** 06/16/2018