Organization
PHOENIX HOUSE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELAN DANIEL ROBIN LMSW (SENIOR COUNSELOR)
(631) 306-5770
Entity
Organization
Contact information
Practice address
998 CROOKED HILL RD, BUILDING 5, BRENTWOOD, NY 11717-1019
(631) 306-5740
(631) 306-5885
Mailing address
998 CROOKED HILL RD, BUILDING 5, BRENTWOOD, NY 11717-1019
(631) 306-5740
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
080833-1
NY
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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