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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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