| NPI | 1891737292 |
|---|---|
| Doing Business As | PHOENIX RISING BHR |
| Entity Type | Organization |
| Authorized Contact | LISA K GRUBBS CEO 330-493-4553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-04-09 |