OrganizationActive
Phoenix Adolescent Outpatient Treatment
NPI 1003096447 · Community/Behavioral Health Agency · Minneapolis, MN
Provider details
- NPI number
- 1003096447
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Phoenix Group Homes, Inc.
- Organization subpart
- Yes
- Authorized official
- Howard Meier, Director(651) 230-1895
- License
- 1034578-1-CDT (MN)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 13th Ave Se
Minneapolis, MN 55414-1437
Phone: (651) 734-3268
Fax: (612) 378-4886
Street-level locationGet directions
Mailing address
1011 Interlachen Pkwy
Woodbury, MN 55125-8852
Registry dates
- Enumerated
- 2007-11-13
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.