Phoenix Outdoor

LBN: Phoenix Outdoor
Phoenix Outdoor is an health care organization with primary practice located at 631 Willow Creek Rd , Leicester NC 28748-5646. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Treatment, Children is the primary health care specialty. Phoenix Outdoor can be contacted via phone (828) 683-7718, or through Nilsen, Karen via phone (828) 668-7590.

Contact Information

Primary practice address
631 Willow Creek Rd Leicester NC 28748-5646
Phone: (828) 683-7718
Fax: (828) 683-9995
Website:
Map and Directions
Authorized official contact:
Name: Nilsen, Karen
Phone: (828) 668-7590

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-011-279 North Carolina
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X MHL-011-279 North Carolina

Profile Details

NPI number 1750522058
LBN Legal business name Phoenix Outdoor
DBA Doing business as
Authorized official Nilsen, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2009
Last updated Mar 16th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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