Phoenix Outdoor
Phoenix Outdoor is an Emotionally Disturbed Childrens' Residential Treatment Facility in Leicester, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
631 Willow Creek RdLeicester, NC 28748-5646
Phone: (828) 683-7718
Fax: (828) 683-9995
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
| Children's Substance Abuse Rehabilitation Facility (primary) | Taxonomy 3245S0500X · Licence MHL-011-279 (NC) |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence MHL-011-279 (NC) |
Record details
| NPI number | 1750522058 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Karen Nilsen — Office Assistant · (828) 668-7590 |
| NPI enumerated | March 16, 2009 |
| Last updated in NPPES | March 16, 2009 |
| Mailing address | 631 Willow Creek Rd, Leicester, NC 28748-5646 |