PHOENIX YOUTH SERVICES, INC. – NPI #1942509328
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

PHOENIX YOUTH SERVICES, INC. is a residential treatment facility located in ADAMSVILLE, PA. NPPES has assigned the NPI number 1942509328 to PHOENIX YOUTH SERVICES, INC. on March 24, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHOENIX YOUTH SERVICES, INC. below.

NPI Profile for
PHOENIX YOUTH SERVICES, INC.

NPI Number
1942509328
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PHOENIX YOUTH SERVICES, INC.
Primary location
556 CONNEAUT LAKE ROAD
ADAMSVILLE, PA 16110
Phone: (724) 588-3425 Fax: (724) 588-3811
Mailing address
797 HARTFORD RD
SHARPSVILLE, PA 16150-9650
Phone: (724) 646-1717 Fax: (724) 646-1770
Organization Subpart
No
Authorized Official
DOMINIQUE SEMBER
VICE PRESIDENT/AED
Phone: (724) 699-3002
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.