| NPI | 1720966625 |
|---|---|
| Former Legal Business Name | PHOENIX RISING THERAPY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA JENKINS Owner 804-730-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |