Phoenix Recovery Center Inc

NPI Provider: 1417006503
Contact Name: Kinneberg L Robert
Position: President
Phone: (410) 671-7374

Phoenix Recovery Center Inc Information:

Phoenix Recovery Center Inc organization have npi 1417006503, taxonomy code is 261QR0405X with license number is 13137 in . This Business address located in 107 Edgewood Rd, Edgewood, MD 21040 Maryland.

Practice Location
Address: 201 Edgewood Rd, Edgewood, MD 21040
Phone: (410) 671-7374

Business Location
Address: 107 Edgewood Rd, Edgewood, MD 21040
Phone: (410) 671-7374
Fax: (410) 679-7757

Taxonomy

Taxonomy Code: 261QR0405X

License Number: 13137

License Number of State: MD

Primary Taxonomy Switch: Y

Enumeration Date: 1/9/2007

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