Organization
PHOENIX RECOVERY CENTER, LLC
Active
Other names
Phoenix Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
BURT DHIRA (CEO)
(614) 551-4364
Entity
Organization
Contact information
Practice address
5945 SAWMILL RD, DUBLIN, OH 43017-1623
(888) 932-8364
Mailing address
5945 SAWMILL RD, DUBLIN, OH 43017-1623
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208901
—
OH
Enumeration date
03/06/2017
Last updated
01/15/2019
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