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Organization
NEW PHOENIX LLC.
Active
Organization
NEW PHOENIX LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA HYDEN (DIRECTOR)
(252) 294-8408
Entity
Organization
Contact information
Practice address
127 GOLDSBORO ST S STE 212, WILSON, NC 27893-4903
(252) 294-8408
Mailing address
PO BOX 335, BLACK CREEK, NC 27813-0335
(252) 294-8408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/03/2024
Last updated
10/14/2025
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