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Organization
PHOENIX RISING BEHAVIORAL HEALTH CARE SERVICES, LLC
Active
Organization
PHOENIX RISING BEHAVIORAL HEALTH CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN KAAINOA KANEAIAKALA III MBA, LAADC (CO-OWNER)
(949) 463-8381
Entity
Organization
Contact information
Practice address
92 ARGONAUT STE 170, ALISO VIEJO, CA 92656-4130
(949) 463-8381
Mailing address
18 PIARA ST, RANCHO MISSION VIEJO, CA 92694-1821
(949) 463-8381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2015
Last updated
07/15/2019
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