PHOENIX REBELLION THERAPY, LLC

MURRAY, UT
NPI1134759186
Entity TypeOrganization
Authorized ContactROD WALLER
President/Exec Director
385-231-8387
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2020-01-17
Last Update Date2023-01-18
Business Address
PHOENIX REBELLION THERAPY, LLC
4516 S 700 E STE 360
MURRAY, UT 84107-8317
Phone number: 385-231-8387
Mailing Address
PHOENIX REBELLION THERAPY, LLC
4516 S 700 E STE 360
MURRAY, UT 84107-8317
Phone number: 385-231-8387
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