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| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRACEFUL PHOENIX RECOVERY HOUSING LLC | 1518798651 | 2024-08-10 |
The organization Graceful Phoenix Recovery Housing Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1518798651. Registration indicates Graceful Phoenix Recovery Housing Llc is a provider of access to mental health/behavioral health/substance use disorder facility services with a specialization in Residential Treatment Facilities, Substance Abuse Rehabilitation Facility Access to Hospital by Licensure Type-Mental Health & Substance Abuse (Residential Treatment Facilities, Substance Abuse Rehabilitation Facility) (Residential Treatment Facilities, Substance Abuse Rehabilitation Facility) (Substance Abuse Rehabilitation Facility, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Substance Abuse Rehabilitation Facility, Residential Treatment Facilities)
| Code | Practice | License No State |
|---|---|---|
| 324500000X PRIMARY | Access to Mental Health/Behavioral Health/Substance Use Disorder Facility Residential Treatment Facilities Substance Abuse Rehabilitation FacilityAccess to Hospital by Licensure Type-Mental Health & Substance Abuse Residential Treatment Facilities Substance Abuse Rehabilitation Facility Residential Treatment Facilities Substance Abuse Rehabilitation Facility Substance Abuse Rehabilitation Facility Behavioral Health/Substance Abuse/Psychiatry Substance Abuse Rehabilitation Facility Residential Treatment Facilities |