# ASCENDING ROOTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760830533
- **Authorized official:** MS. STEPHANIE JOHNSON (PRESIDENT)
- **Authorized official phone:** (480) 779-8016

## Contact information

- **Practice address:** 1839 N 39TH ST, PHOENIX, AZ 85008-3915
- **Practice address phone:** (480) 797-9438
- **Mailing address:** 2303 N 44TH ST, 14-1198, PHOENIX, AZ 85008-2442
- **Mailing address phone:** (480) 779-8016
- **Mailing address fax:** (602) 341-6962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | BH4858 | AZ | — |
| 323P00000X | Psychiatric Residential Treatment Facility | BH4858 | AZ | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016