Organization
PHOENIX HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L COLVIN CADP (EXECUTIVE DIRECTOR)
(205) 758-3867
Entity
Organization
Contact information
Practice address
700 35TH AVE, TUSCALOOSA, AL 35401-1330
(205) 758-3867
(205) 758-3803
Mailing address
700 35TH AVE, TUSCALOOSA, AL 35401-1330
(205) 758-3867
(205) 758-3803
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
AL
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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