| NPI | 1780270173 |
|---|---|
| Doing Business As | PHOENIX ARISE |
| Entity Type | Organization |
| Authorized Contact | NICOLE BLACK Managing Partner 806-712-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-12-18 |
| Last Update Date | 2024-07-29 |