PHOENIX-WASHINGTON, INC. - TDBA GREENBRIAR TREATMENT CENTER (NPI# 1083607642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083607642 |
| Entity Type | Organization |
| Organization Name | PHOENIX-WASHINGTON, INC. - TDBA GREENBRIAR TREATMENT CENTER |
| Practice Address |
800 Manor Dr Washington PA 15301-2967 |
| Practice Telephone | 7242259700 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | ROBERT SIMMONS (CFO) |
| Authorized Official Telephone | 7242259700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
800 MANOR DR |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-2967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306240064 | Amye E Mccarthy | Nurse Practitioner | 800 Manor Dr, Washington, PA 15301-2967 | 2014-10-09 |
| 1588718928 | Holly Jean Martin | Psychologist | 800 Manor Dr, Washington, PA 15301-2967 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780194076 | Samaritan Inns, Inc. | Substance Abuse Rehabilitation Facility | 1422 Harvard St Nw, Washington, DC 20009-4610 | 2017-10-02 |
| 1417387358 | Uplifting Sisters | Substance Abuse Rehabilitation Facility | 1516 K St Se # 204, Washington, DC 20003-3239 | 2013-11-13 |
| 1134483464 | Second Genesis Inc | Substance Abuse Rehabilitation Facility | 1320 Harvard St Nw, Washington, DC 20009-4904 | 2012-07-02 |
| 1962793794 | Pilgrim Rest Baptist Therapeutic Services, Inc | Substance Abuse Rehabilitation Facility | 4601 Sheriff Rd Ne, Washington, DC 20019-3704 | 2011-04-27 |
| 1437455516 | Samaritan Inns, Inc. | Substance Abuse Rehabilitation Facility | 2523 14th St Nw, Washington, DC 20009-6952 | 2011-02-07 |
| 1346427630 | Neighbors Consejo | Substance Abuse Rehabilitation Facility | 3118 16th St Nw, Washington, DC 20010-3301 | 2008-01-29 |
| 1215113097 | Holy Comforter-st. Cyprian Community Action Group | Substance Abuse Rehabilitation Facility | 3323 13th St Se, Washington, DC 20032-4533 | 2008-01-11 |
| 1083899454 | Holy Comforter-st. Cyprian Community Action G | Substance Abuse Rehabilitation Facility | #16 17th Street, Ne, Washington, DC 20002 | 2008-01-04 |
| 1508041880 | Holy Comforter-st. Cyprian Community Action G | Substance Abuse Rehabilitation Facility | 3321 13th Street, Se, Washington, DC 20032 | 2008-01-04 |
| 1497930796 | Greater Mt. Calvary Holy Church | Substance Abuse Rehabilitation Facility | 802 Rhode Island Ave Ne, Washington, DC 20018-1732 | 2008-01-04 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
Please comment or provide details below to improve the information on PHOENIX-WASHINGTON, INC. - TDBA GREENBRIAR TREATMENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.