Organization
PHOENIX RECOVERY SERVICES LLC
Active
Other names
Gilman Phoenix House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARLES HALBLEIB (MANAGING MEMBER)
(715) 577-6524
Entity
Organization
Contact information
Practice address
600 W HICKORY ST, GILMAN, WI 54433-0188
(715) 447-8219
(715) 447-5775
Mailing address
600 W HICKORY ST, GILMAN, WI 54433-0188
(715) 447-8219
(715) 447-5775
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
WI
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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