# RISING STAR BEHAVIOR HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RISING STAR BEHAVIOR HEALTH LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346997392
- **Authorized official:** MR. SIMON ADDEI (ADMINISTRATOR)
- **Authorized official phone:** (602) 814-4693

## Contact information

- **Practice address:** 546 E PASTURE CANYON DR, SAN TAN VALLEY, AZ 85143-5814
- **Practice address phone:** (720) 499-8868
- **Practice address fax:** (480) 452-0828
- **Mailing address:** 546 E PASTURE CANYON DR, SAN TAN VALLEY, AZ 85143-5814
- **Mailing address phone:** (602) 814-4693
- **Mailing address fax:** (480) 452-0828

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 06/17/2022