| Organization Name: | PHILLIPS & ROSE, PC |
| NPI Number: | 1164515821 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH D. PHILLIPS (PRESIDENT/MEDICAL DIRECTOR) |
| Mailing Address: | 7580 Hospital Dr Sutie 201 Gloucester |
| State: | VA US |
| Postal Code: | 23061 |
| Phone Number: | 8046930810 |
| Fax Number: | 8046930211 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0701003186 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |