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Organization
RISING PHOENIX PROFESSIONAL SERVICES, LLC
Active
Organization
RISING PHOENIX PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENYA YOUNG (PARTNER)
(919) 209-0060
Entity
Organization
Contact information
Practice address
101-1 N. 4TH STREET, SMITHFIELD, NC 27577-3941
(919) 209-0060
Mailing address
PO BOX 61232, RALEIGH, NC 27661-1232
(919) 209-0060
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/08/2010
Last updated
03/10/2011
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