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PHOENIX RESIDENTIAL SERVICES
NPI 1912434770
Community Based Residential Treatment Facility, Mental Illness in Pontiac, MI

Active since May 11, 2017
108 FRANKLIN BLVD, PONTIAC, MI 48341(248) 338-3743 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Residential Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX RESIDENTIAL SERVICES (NPI 1912434770) is a healthcare organization registered as a community based residential treatment facility, mental illness in Pontiac, Michigan and active in the NPI registry since May 2017. The organization lists Demetra B Leonard, President, as its authorized official.

NPPES Registry Identity

NPI1912434770
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NamePHOENIX RESIDENTIAL SERVICES
Location Address108 FRANKLIN BLVDPontiac, MI 48341-1706
Mailing Address108 Franklin BlvdPontiac, MI 48341-1706 · (248) 338-3743
Phone(248) 338-3743
Organization SubpartNo
Authorized OfficialDemetra B LeonardPresident · (248) 338-3743
Enumeration DateMay 11, 2017
✔ NPI 1912434770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in MI · AS630244869
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
108 FRANKLIN BLVD, Pontiac, MI 48341
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Residential Services's NPI number?

The NPI number for Phoenix Residential Services is 1912434770. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is Phoenix Residential Services located?

Phoenix Residential Services is located at 108 Franklin Blvd, Pontiac, MI 48341. The listed phone number is (248) 338-3743.

What is Phoenix Residential Services's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Phoenix Residential Services was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.