Phoenix Training Institute | |
1147 W Liberty St Allentown PA 18102-2738 | |
(610) 737-0499 | |
Not Available |
Full Name | Phoenix Training Institute |
---|---|
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1147 W Liberty St, Allentown, Pennsylvania |
Authorized Official Name and Position | Larue Carrigan-houser (DIRECTOR) |
Authorized Official Contact | 6107370499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Training Institute 1147 W Liberty St Allentown PA 18102-2738 Ph: () - | Phoenix Training Institute 1147 W Liberty St Allentown PA 18102-2738 Ph: (610) 737-0499 |
NPI Number | 1265885610 |
---|---|
Provider Enumeration Date | 07/21/2016 |
Last Update Date | 07/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265885610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 397049 (Pennsylvania) | Primary |
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