Organization
PHOENIX RECOVERY HOUSE
Active
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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