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Organization

PHOENIX GROUP HOME, LLC

Active
Parent organization
PHOENIX GROUP HOME LLC
Other names
Path Integrated Health, Path Behavioral Healthcare, Path Behavioral Health- SUD
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHOENIX GROUP HOME LLC
Authorized official
ABBIE CARPENTER (CREDENTIALING SPECIALIST)
(304) 794-6285
Entity
Organization

Contact information

Practice address
3012 GLENMORE AVE STE 104, CINCINNATI, OH 45238-2258
(740) 858-1659
(740) 876-9213
Mailing address
3012 GLENMORE AVE STE 104, CINCINNATI, OH 45238-2258
(740) 858-1659
(740) 876-9213

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
12/06/2017
Last updated
02/06/2026
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