NPI | 1497411748 |
---|---|
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 |