Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Adolescent Outpatient Treatment

Organization Community/Behavioral Health Agency · NPI 1588833271

Phoenix Adolescent Outpatient Treatment is a Community/Behavioral Health Agency in Maplewood, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

2055 White Bear Ave N
Maplewood, MN 55109-3716
Phone: (651) 734-3268
Fax: (612) 378-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 1048347-1-CDT (MN)

Record details

NPI number1588833271
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPhoenix Group Homes, Inc
Authorized official Howard Meier — Executive Director · (651) 230-1895
NPI enumeratedFebruary 27, 2008
Last updated in NPPESFebruary 27, 2008
Mailing address1011 Interlachen Pkwy, Woodbury, MN 55125-8852

Other providers in Maplewood