| Phoenix Behavioral Health Llc | |
|
1014 Whitehead Road Ext Ewing NJ 08638-2406 | |
| (609) 771-3777 | |
| (609) 771-8041 |
| Full Name | Phoenix Behavioral Health Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 1014 Whitehead Road Ext, Ewing, New Jersey |
| Authorized Official Name and Position | Uriel Feldman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7325816067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Behavioral Health Llc 1014 Whitehead Road Ext Ewing NJ 08638-2406 Ph: (609) 771-3777 | Phoenix Behavioral Health Llc 1014 Whitehead Road Ext Ewing NJ 08638-2406 Ph: (609) 771-3777 |
| NPI Number | 1275938193 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275938193 | NPI | - | NPPES |
| 0439673 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New Jersey) | Secondary |
| 253Z00000X | In Home Supportive Care | (New Jersey) | Primary |
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