Phoenix Rising Behavioral Health Care Services, LLC
NPI #1124491360 in Aliso Viejo, California
Provider Information
- NPI Number
- 1124491360
- Entity Type
- Organization
- Organization Name
- Phoenix Rising Behavioral Health Care Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 10, 2015
- Last Updated
- Jul 15, 2019
Practice Location
- Address
- 92 ARGONAUT STE 170
- City
- Aliso Viejo
- State
- California
- ZIP Code
- 92656-4130
- Phone
- (949) 463-8381
Authorized Official
- Name
- MR. BENJAMIN KAAINOA KANEAIAKALA III, MBA, LAADC
- Title
- CO-OWNER
- Phone
- (949) 463-8381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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