Red Phoenix Recovery LLC
NPI #1962252908 in Fortuna, California
Provider Information
- NPI Number
- 1962252908
- Entity Type
- Organization
- Organization Name
- Red Phoenix Recovery LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 25, 2024
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 1554 WOOD ST
- City
- Fortuna
- State
- California
- ZIP Code
- 95540-3541
- Phone
- (707) 498-1865
Authorized Official
- Name
- MRS. MARILYNNE SUE WALPOLE, CADC LL-CA
- Title
- OWNER/CEO
- Phone
- (707) 498-1865
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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