Organization
PHOENIX PROGRAMS, INC.
Active
Organization
PHOENIX PROGRAMS, INC.
Active
Other names
Phoenix Health Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LYNNE CAMERON RASAC II (VETERANS SPECIALIST)
(573) 875-8880
Entity
Organization
Contact information
Practice address
90 E LESLIE LN, COLUMBIA, MO 65202-1535
(573) 875-8880
(573) 442-3830
Mailing address
90 E LESLIE LN, COLUMBIA, MO 65202-1535
(573) 875-8880
(573) 442-3830
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QR0405X
—
MO
01
—
324500000X
PRIVATE INSURANCE
MO
Enumeration date
04/06/2010
Last updated
05/05/2016
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