| Phoenix Rising Counseling & Recovery Services | |
|
49 Oswego St Baldwinsville NY 13027-2448 | |
| (315) 415-9795 | |
| Not Available |
| Full Name | Phoenix Rising Counseling & Recovery Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 49 Oswego St, Baldwinsville, New York |
| Authorized Official Name and Position | Gregg Allen Heffner (PRESIDENT) |
| Authorized Official Contact | 3154159795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling & Recovery Services 49 Oswego St Baldwinsville NY 13027-2448 Ph: (315) 415-9795 | Phoenix Rising Counseling & Recovery Services 49 Oswego St Baldwinsville NY 13027-2448 Ph: (315) 415-9795 |
| NPI Number | 1831473826 |
|---|---|
| Provider Enumeration Date | 10/07/2011 |
| Last Update Date | 10/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831473826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R070522 (New York) | Primary |
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