Organization
PHOENIX RECOVERY, LLC
Active
Other names
Renew Life Path
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON MARBOIS-SEGALL CSAC (OWNER)
(828) 242-1400
Entity
Organization
Contact information
Practice address
23 VANCE CRESCENT ST, ASHEVILLE, NC 28806-3010
(828) 242-1400
(888) 211-2660
Mailing address
14 DILLINGHAM CIR, ASHEVILLE, NC 28805-9785
(828) 777-7746
(888) 211-2660
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CSAC-20579
NC
251B00000X
Case Management Agency
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/16/2016
Last updated
09/13/2016
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