Phoenix Rising Behavioral Health Care Services, Llc | |
92 Argonaut Ste 170 Aliso Viejo CA 92656-4130 | |
(949) 463-8381 | |
Not Available |
Full Name | Phoenix Rising Behavioral Health Care Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 92 Argonaut Ste 170, Aliso Viejo, California |
Authorized Official Name and Position | Benjamin Kaainoa Kaneaiakala (CO-OWNER) |
Authorized Official Contact | 9494638381 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Phoenix Rising Behavioral Health Care Services, Llc 18 Piara St Rancho Mission Viejo CA 92694-1821 Ph: (949) 463-8381 | Phoenix Rising Behavioral Health Care Services, Llc 92 Argonaut Ste 170 Aliso Viejo CA 92656-4130 Ph: (949) 463-8381 |
NPI Number | 1124491360 |
---|---|
Provider Enumeration Date | 11/10/2015 |
Last Update Date | 07/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124491360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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