Organization
PHOENIX GROUP HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HOWARD L. MEIER (DIRECTOR)
(651) 230-1895
Entity
Organization
Contact information
Practice address
227 E MAIN ST, SUITE 105, MANKATO, MN 56001-7732
(507) 385-0668
(507) 385-0020
Mailing address
1011 INTERLACHEN PKWY, WOODBURY, MN 55125-8852
(651) 230-0849
(651) 773-5894
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1050058-1-CDT
MN
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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