Phoenixco.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PHOENIXCO.

Doing business as

Townsend Recovery

Practice address

348 Miracle Strip Pkwy SW Ste 13
Fort Walton Beach, FL 32548-5258

Phone

(850) 244-2900

Fax

(850) 796-2700

NPI assigned

May 19, 2009

Organization subpart

No

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

Authorized official

Name

Adam Pollock

Title

Ceo

Phone

(337) 315-9456

Specialties & licenses 1

Addresses

Other names 1

• Townsend Recovery Doing business as

Locations

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1437384518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36132 EMERALD COAST PKWY",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415776",
            "telephone_number": "850-424-3914",
            "fax_number": "850-424-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 MIRACLE STRIP PKWY SW STE 13",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325485258",
            "telephone_number": "850-244-2900",
            "fax_number": "850-796-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIXCO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-315-9456"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Townsend Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linh DO Ha Phan, PHARMACIST
• Twan Phanijphand, D.O.
• PHC-Ft Walton Inc
• Rachel Mikaela Phillips
• Tanya Phillips
• Physiatry Pain Management, P.a
• Gregory James Piacente, M.D.
• Katherine Pina
• Joshua Pinkston, AGACNP-BC
• Carly Mae Pippin, DPT

• Substance Use Disorder Rehabilitation Clinic/Center in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.