Organization
PHOENIX HOUSES OF NEW YORK, INC.
Active
Parent organization
PHOENIX HOUSE FOUNDATION, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX HOUSE FOUNDATION, INC
Authorized official
MR. KEVIN KIRCHOFF (SR. VICE PRESIDENT)
(212) 595-5810
Entity
Organization
Contact information
Practice address
164 W 74TH ST, NEW YORK, NY 10023-2301
(718) 222-6600
(718) 576-2866
Mailing address
50 JAY ST, 3RD FL, BROOKLYN, NY 11201-1144
(718) 222-6600
(718) 576-2866
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644448
—
NY
05
—
02918216
—
NY
Enumeration date
11/30/2006
Last updated
11/21/2007
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