Provider Demographics
NPI:1750826046
Name:ASCENSION PARTNERS
Entity Type:Organization
Organization Name:ASCENSION PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LIKENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-396-7436
Mailing Address - Street 1:555 S PALM CANYON DR
Mailing Address - Street 2:SUITE A202
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7469
Mailing Address - Country:US
Mailing Address - Phone:760-318-0626
Mailing Address - Fax:
Practice Address - Street 1:280 E MEL AVE
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4817
Practice Address - Country:US
Practice Address - Phone:760-318-0626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-22
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility