| Phoenix Healing Arts | |
|
22762 Aspan Street #207 Lake Forest CA 92630 | |
| (800) 759-1930 | |
| Not Available |
| Full Name | Phoenix Healing Arts |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 22762 Aspan Street #207, Lake Forest, California |
| Authorized Official Name and Position | Mathew Carver (PROGRAM DIRECTOR) |
| Authorized Official Contact | 8007591930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Healing Arts 22762 Aspan Street #207 Lake Forest CA 92630 Ph: (800) 759-1930 | Phoenix Healing Arts 22762 Aspan Street #207 Lake Forest CA 92630 Ph: (800) 759-1930 |
| NPI Number | 1427368687 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427368687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
| 261QA0600X | Clinic/center - Adult Day Care | (California) | Secondary |
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