Phoenix Therapeutic Foundation, Inc
LBN: Phoenix Therapeutic Foundation, Inc
Phoenix Therapeutic Foundation, Inc is an health care organization with primary practice located at 5602 Baltimore National Pike Suite 700, Baltimore MD 21228-1411. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Phoenix Therapeutic Foundation, Inc can be contacted via phone (410) 744-9100, or through Elbeshir, Amr A via phone (410) 744-9100.
Contact Information
Primary practice address
5602 Baltimore National Pike Suite 700
Baltimore MD 21228-1411
Phone: (410) 744-9100
Fax: (410) 747-0226
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA149 | Maryland |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC1148 | Maryland |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | G08008 | Maryland |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11349 | Maryland |
Agencies / Community/Behavioral Health | 251S00000X | D0016432 | Maryland |
Profile Details
NPI number | 1033247945 |
---|---|
LBN Legal business name | Phoenix Therapeutic Foundation, Inc |
DBA Doing business as | |
Authorized official | Elbeshir, Amr A Master of Arts (MA) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 1st, 2007 |
Last updated | Sep 27th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033247945 | NPPES |
Maryland | MEDICAID | 403344200 |
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