Phoenix House
Phoenix House is a Community/Behavioral Health Agency in Springfield, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2015.
- Licensed in
- MA
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
5 Madison AveSpringfield, MA 01105-1403
Phone: (413) 733-6051
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X · Licence 745 (MA) |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 745 (MA) |
| Exclusive Provider Organization | Taxonomy 302F00000X · Licence 745 (MA) |
Record details
| NPI number | 1023408309 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ellen Waltman — Clinical Supervisor · (413) 355-6832 |
| NPI enumerated | January 26, 2015 |
| Last updated in NPPES | January 26, 2015 |
| Mailing address | 5 Madison Avenue, Springfield, MA 01105 |
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