Organization
PHOENIX HOUSE - TAPESTRY
Active
Organization
PHOENIX HOUSE - TAPESTRY
Active
Other names
Phoenix Houses of New Englan, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TURNER (VICE PRESIDENT/VERMONT)
(802) 345-3593
Entity
Organization
Contact information
Practice address
178 LINDEN ST, BRATTLEBORO, VT 05301-2855
(802) 257-2415
(802) 257-4617
Mailing address
99 WAYLAND AVE, 100, PROVIDENCE, RI 02906-4314
(401) 331-4250
(401) 421-5520
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
000506
VT
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0680000733
VT
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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