Organization
THE PHOENIX GROUP HOMES LLC
Active
Parent organization
THE PHOENIX GROUP HOMES LLC
Other names
The Phoenix Group Homes LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PHOENIX GROUP HOMES LLC
Authorized official
HYACINTH POWELL (PRESIDENT)
(602) 748-0919
Entity
Organization
Contact information
Practice address
1150 ALSTEAD CT NW, CONCORD, NC 28027-8653
(602) 748-0919
Mailing address
1150 ALSTEAD CT NW, CONCORD, NC 28027-8653
(602) 748-0919
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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