| Phoenix Rising Recovery | |
|
77725 Enfield Ln # 100-200 Palm Desert CA 92211 | |
| (760) 345-7239 | |
| Not Available |
| Full Name | Phoenix Rising Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 77725 Enfield Ln # 100-200, Palm Desert, California |
| Authorized Official Name and Position | Amy Crichton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7602003839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Recovery 77725 Enfield Ln Palm Desert CA 92211-0468 Ph: (760) 409-1287 | Phoenix Rising Recovery 77725 Enfield Ln # 100-200 Palm Desert CA 92211 Ph: (760) 345-7239 |
| NPI Number | 1942702055 |
|---|---|
| Provider Enumeration Date | 03/05/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942702055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 330143BP (California) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 330143BP (California) | Primary |
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