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Organization
PHOENIX YOUTH SERVICES, INC.
Active
Organization
PHOENIX YOUTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE SEMBER (VICE PRESIDENT/AED)
(724) 699-3002
Entity
Organization
Contact information
Practice address
556 CONNEAUT LAKE ROAD, ADAMSVILLE, PA 16110
(724) 588-3425
(724) 588-3811
Mailing address
797 HARTFORD RD, SHARPSVILLE, PA 16150-9650
(724) 646-1717
(724) 646-1770
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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