| NPI | 1033580113 |
|---|---|
| Doing Business As | PHOENIX RISING RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AMY CRICHTON Executive Director 760-200-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2018-08-07 |