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

Phoenix Domus

Organization Community/Behavioral Health Agency · NPI 1336728724

Phoenix Domus is a Community/Behavioral Health Agency in Altoona, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

114 Beech Ave
Altoona, PA 16601-4235
Phone: (814) 502-5157
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1336728724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory McConnell — Program Manager · (814) 934-6513
NPI enumeratedApril 5, 2021
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address114 Beech Ave, Altoona, PA 16601-4235

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