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Organization

PHOENIX RECOVERY HOUSE

Active
Parent organization
PIONEER HUMAN SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
PIONEER HUMAN SERVICES
Authorized official
MR. ROBERT DENNIS SULLIVAN CDP, LICSW (DIRECTOR III)
(360) 848-8437
Entity
Organization

Contact information

Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 848-8437
Mailing address
7440 W MARGINAL WAY S, SEATTLE, WA 98108-4141

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
03/13/2019
Last updated
03/13/2019
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