| NPI | 1275231474 |
|---|---|
| Doing Business As | PHOENIX RISING WITH DR. G |
| Entity Type | Organization |
| Authorized Contact | MELISSA GERAGHTY President 630-328-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |