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Organization
RED PHOENIX RECOVERY LLC
Active
Organization
RED PHOENIX RECOVERY LLC
Active
Other names
Red Phoenix Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYNNE SUE WALPOLE CADC LL-CA (OWNER/CEO)
(707) 498-1865
Entity
Organization
Contact information
Practice address
1554 WOOD ST, FORTUNA, CA 95540-3541
(707) 498-1865
Mailing address
1554 WOOD ST, FORTUNA, CA 95540-3541
(707) 498-1865
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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