Phoenix Therapeutic Foundation, Inc

NPI 1033247945 - Counselor - 101YM0800X

NPI Details
NPI 1033247945
Enumeration Date 03/01/2007
Last Updated 09/27/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name AMR A AMR
Position PROGRAM DIRECTOR CEO
Phone (410) 744-9100
Fax (410) 747-0226
Practice Location
5602 BALTIMORE NATIONAL PIKE
SUITE 700
BALTIMORE MD, 21228-1411, US
Phone (410) 744-9100
Fax (410) 747-0226
Business Location
5602 BALTIMORE NATIONAL PIKE
SUITE 700
BALTIMORE MD, 21228-1411, US
Phone (410) 744-9100
Fax (410) 747-0226
Toxanomy
Taxonomy Code 101YM0800X
License State Maryland
License Number LC1148
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According to our database, Phoenix Therapeutic Foundation, Inc NPI is 1033247945, taxonomy code is 101YM0800X and license number is LC1148, license state is located at Maryland. Phoenix Therapeutic Foundation, Inc physically located at 5602 Baltimore National Pike, Baltimore MD, 21228-1411. NPI Number 1033115704 has the healthcare provider type.

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1033247945 NPI number is provided on an as is basis without warranty of any kind. 1033247945 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Therapeutic Foundation, Inc are for informational purposes only.