Phoenix Rising Now Corporation

NPI #1336410349 in Lake Mary, Florida

Provider Information

NPI Number
1336410349
Entity Type
Organization
Organization Name
Phoenix Rising Now Corporation
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jan 23, 2012
Last Updated
Jan 29, 2012

Practice Location

Address
1540 INTERNATIONAL PKWY
Address 2
SUITE 2000
State
Florida
ZIP Code
32746-4713
Phone
(407) 267-0415

Authorized Official

Name
RHONDA BAKER, LMFT
Title
EXECUTIVE DIRECTOR
Phone
(407) 267-0415

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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