| NPI | 1346997392 |
|---|---|
| Former Legal Business Name | RISING STAR BEHAVIOR HEALTH LLC |
| Entity Type | Organization |
| Authorized Contact | SIMON ADDEI Administrator 602-814-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2022-06-17 |