Phoenix Adolescent Outpatient Treatment
Phoenix Adolescent Outpatient Treatment is a Community/Behavioral Health Agency in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
601 13th Ave SEMinneapolis, MN 55414-1437
Phone: (651) 734-3268
Fax: (612) 378-4886
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 1034578-1-CDT (MN) |
|---|
Record details
| NPI number | 1003096447 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Phoenix Group Homes, Inc |
| Authorized official | Howard Meier — Director · (651) 230-1895 |
| NPI enumerated | November 13, 2007 |
| Last updated in NPPES | November 13, 2007 |
| Mailing address | 1011 Interlachen Pkwy, Woodbury, MN 55125-8852 |
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