Organization
PHOENIX HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHOREY ELIZABETH RAYMOND M. ED. (SENIOR COUNSELOR)
(413) 739-2440
Entity
Organization
Contact information
Practice address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(413) 739-2440
(413) 739-1087
Mailing address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(413) 739-2440
(413) 739-1087
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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