Organization
PHOENIX HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LIVELY MBA (COO)
(443) 878-1111
Entity
Organization
Contact information
Practice address
821 N PORT ST, BALTIMORE, MD 21205-1623
(443) 878-1111
Mailing address
2115 N CHARLES ST STE 200, BALTIMORE, MD 21218-5751
(443) 878-1111
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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