Phoenix Recovery House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHOENIX RECOVERY HOUSE

Practice address

109 S Main St
Pleasantville, NJ 08232-2729

Phone

(610) 350-9100

Fax

(302) 655-5317

NPI assigned

Oct 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Gray McKee II, FOUNDER/THERAPIST

Title

Ceo

Phone

(610) 350-9100

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Recovery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1164021820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WEIR RD",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190141634",
            "telephone_number": "610-350-9100",
            "fax_number": "302-655-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322729",
            "telephone_number": "610-350-9100",
            "fax_number": "302-655-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-350-9100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "FOUNDER/THERAPIST"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Osei-Agyeman
• Shivam A Parikh, PHARMD
• Paul H. Goodman, D.D.S. and Jay L. Rosenberg, D.D.S., L.L.C.
• Charles Keeler Paxson, DMD
• Byrde Pettigrew, D.M.D
• Dwayne J Pierce Sr.
• Pleasant Care Pharmacy Inc
• Pleasantech Academy Charter School
• Pleasantville Board of Education
• Pleasantville Dental, LLC

• Substance Abuse Rehabilitation Facility in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Substance Abuse Rehabilitation Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.