# PHOENIX RISING PSYCHIATRIC, RECOVERY & SLEEP SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Rising Psychiatric, Recovery & Sleep Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437888740
- **Authorized official:** DR. GINARI GIBB PRICE MD (OWNER)
- **Authorized official phone:** (678) 709-9021

## Contact information

- **Practice address:** 101 DEVANT ST STE 504, FAYETTEVILLE, GA 30214-2720
- **Practice address phone:** (770) 282-6962
- **Practice address fax:** (770) 282-6983
- **Mailing address:** 101 DEVANT ST STE 504, FAYETTEVILLE, GA 30214-2720
- **Mailing address phone:** (770) 282-6962
- **Mailing address fax:** (770) 282-6983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 06/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00000000000000000000 | DO NOT HAVE THESE NUMBERS YET | — |