Organization
THE PHOENIX RECOVERY SUPPORT SERVICES AND SOBER LIVING ENVIRONMENTS LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOREY ALAN MCCREERY PRSS (CHIEF OPERATING OFFICER)
(234) 214-9731
Entity
Organization
Contact information
Practice address
3311 12TH ST NW, CANTON, OH 44708-3909
(234) 214-9731
Mailing address
3311 12TH ST NW, CANTON, OH 44708-3909
(234) 214-9731
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
02/07/2023
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