Organization
PHOENIX PROGRAMS, INC.
Active
Other names
Phoenix Health Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA L 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 LANE, COLUMBIA, MO 65202
(573) 875-8880
(573) 442-3830
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265757991
—
MO
05
—
1437213634
—
MO
05
—
866476609
—
MO
Enumeration date
05/24/2016
Last updated
05/24/2016
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