| NPI | 1043976392 |
|---|---|
| Doing Business As | PHOENIX RISING RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AMY CRICHTON Executive Director 760-200-3839 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |