Organization
PHOENIX HOUSE OF NEW ENGLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL ORTIZ MS,MLADC (COUNSELOR)
(603) 358-4041
Entity
Organization
Contact information
Practice address
12 KINGSBURY ST, KEENE, NH 03431-3825
(603) 358-4041
(603) 352-4738
Mailing address
12 KINGSBURY ST, KEENE, NH 03431-3825
(603) 358-4041
(603) 352-4738
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0837
NH
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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