Organization
THE PHOENIX COUNSELING AND RECOVERY PROJECT LLC
Active
Other names
Phoenix Counseling and Recovery Services
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA A MAIKE (CEO)
(239) 286-0000
Entity
Organization
Contact information
Practice address
3441 COLONIAL BLVD STE 2, FORT MYERS, FL 33966-1121
(239) 268-0000
Mailing address
4121 SW 9TH AVE, CAPE CORAL, FL 33914-5714
(239) 286-0000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2024
Last updated
12/09/2024
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