Phoenix Therapeutic Foundation, Inc - Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland | ProviderWire

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Addiction (Substance Use Disorder) Counselor
Maryland
Baltimore
Phoenix Therapeutic Foundation, Inc

Legal Business Name

Phoenix Therapeutic Foundation, Inc

NPI Number

1184983637

NPI Type

Organization

Enumeration Date

05/03/2012

Specialties

(Taxonomies)

Name

Addiction (Substance Use Disorder) Counselor

Code

101YA0400X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing

Location

Address

5602 BALTIMORE NATIONAL PIKE

5602 BALTIMORE NATIONAL PIKE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21228-1411

21228-1411

Country

US

US

Telephone Number

(410) 744-9100

(410) 744-9100

Authorized Official

Name

Amr Elbeshir

Title or Position

CEO

Telephone Number

(410) 744-9100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/03/2012

Provider Address

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