Organization
PHOENIX GROUP HOME, LLC
Active
Other names
Path Integrated Health, Path Behavioral Healthcare, PATH Integrated Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHAL LUNT (OWNER)
(801) 560-3822
Entity
Organization
Contact information
Practice address
902 GALLIA ST, PORTSMOUTH, OH 45662-4139
(740) 529-2125
(740) 529-2126
Mailing address
257 E 200 S STE 350, SALT LAKE CITY, UT 84111-2085
(740) 858-1659
(513) 221-2093
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0241576
—
OH
Enumeration date
03/29/2017
Last updated
08/17/2026
Update your record
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