Organization
PHOENIX HOUSES OF NE
Active
Other names
phoenix House dublin Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCENEANEY (EXETUTIVE DIRECTOR)
(401) 331-4250
Entity
Organization
Contact information
Practice address
1 PIERCE RD, DUBLIN, NH 03444-0319
(603) 563-8501
(603) 563-8296
Mailing address
131 WAYLAND AVE, PROVIDENCE, RI 02906-4303
(401) 331-4250
(401) 331-5520
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
02724
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009358
—
VT
01
—
80092
BCBS
VT
Enumeration date
09/22/2006
Last updated
08/22/2020
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