Organization
PHOENIX & THE BUTTERFLY RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE WILLEMIN LMSW (VICE PRESIDENT)
(443) 845-9280
Entity
Organization
Contact information
Practice address
2121 SUMMIT AVE, ROSEDALE, MD 21237-1335
(410) 963-1717
Mailing address
2121 SUMMIT AVE, ROSEDALE, MD 21237-1335
(410) 963-1717
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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