OrganizationActive
Phoenix House
NPI 1023408309 · Substance Abuse Rehabilitation Facility · Springfield, MA
Provider details
- NPI number
- 1023408309
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ellen Waltman, Clinical Supervisor(413) 355-6832
- License
- 745 (MA)
Specialties & taxonomies
Residential Treatment Facilities
Agencies
Managed Care Organizations
Practice location
5 Madison Ave
Springfield, MA 01105-1403
Phone: (413) 733-6051
Approximate (ZIP-level) locationGet directions
Mailing address
5 Madison Avenue
Springfield, MA 01105
Registry dates
- Enumerated
- 2015-01-26
- Last updated
- 2015-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.