Provider Demographics
NPI:1912711383
Name:PHOENIX OASIS RECOVERY HOMES INC.
Entity type:Organization
Organization Name:PHOENIX OASIS RECOVERY HOMES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:PFEFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-686-7260
Mailing Address - Street 1:2218 E POLK ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-3986
Mailing Address - Country:US
Mailing Address - Phone:636-778-1515
Mailing Address - Fax:480-621-7872
Practice Address - Street 1:3400 GRAND AVE STE 211
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-4507
Practice Address - Country:US
Practice Address - Phone:636-778-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHOENIX OASIS RECOVERY HOMES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health