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Organization

PHOENIX HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CHRISTINE WEST (ADMINISTRATOR)
(515) 304-3345
Entity
Organization

Contact information

Practice address
1500 1ST AVE E, NEWTON, IA 50208-4043
(515) 582-4557
(515) 608-4433
Mailing address
1500 1ST AVE E, NEWTON, IA 50208-4043
(515) 582-4557
(515) 608-4433

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
07/11/2023
Last updated
11/02/2023
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