Organization
PHOENIX HOUSES OF TEXAS, INC
Active
Other names
Phoenix Houses of Texas, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DREW DUTTON (PRESIDENT & CEO)
(817) 932-5050
Entity
Organization
Contact information
Practice address
2803 MOSSROCK DRIVE, OFFICES 113, 122; MEETING ROOMS 3 & 4, ROOMS 103 & 106, SAN ANTONIO, TX 78230-5131
(512) 440-0613
Mailing address
1910 PACIFIC AVE STE 10500, DALLAS, TX 75201-4591
(214) 920-1628
(214) 351-0967
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396608701
—
TX
01
—
865-4902
TEXAS DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
02/28/2019
Last updated
06/22/2023
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