| NPI | 1033736699 |
|---|---|
| Doing Business As | A PHOENIX RISING, LLC |
| Entity Type | Organization |
| Authorized Contact | XANDER JOHN BURGESS Owner 719-439-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-08-02 |