Organization
PHOENIX PROGRAMS OF FLORIDA, INC.
Active
Organization
PHOENIX PROGRAMS OF FLORIDA, INC.
Active
Parent organization
PHOENIX HOUSE FOUNDATION, INC.
Other names
Phoenix Houses of Florida
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIX HOUSE FOUNDATION, INC.
Authorized official
MARIA ALVAREZ (EXECUTIVE VP. & REGIONAL DIRECTOR)
(813) 881-1000
Entity
Organization
Contact information
Practice address
510 VONDERBURG DR., SUITE 301, BRANDON, FL 33511-6072
(813) 881-1000
(813) 689-2856
Mailing address
510 VONDERBURG DR., SUITE 301, BRANDON, FL 33511-6072
(813) 881-1000
(813) 689-2856
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1329AD294801
FL
324500000X
Substance Abuse Rehabilitation Facility
0542AD294801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076716600
—
FL
Enumeration date
02/07/2007
Last updated
01/24/2018
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