NPI 1346658234

Phoenix Recovery Services LLC

Organisation Mental Illness Community Based Residential Treatment Facility Gilman, WI

Practice location

Address: 600 W Hickory St, Gilman, WI 54433-0188
Phone: (715) 447-8219
Fax: (715) 447-5775

Authorised official

Name: John Charles Halbleib
Title: Managing Member
Phone: (715) 577-6524

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Wisconsin →

Registry record

NPI: 1346658234
Entity type: Organization
NPI issued: 24 Jul 2014
Record last updated: 24 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.