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Organization
PHOENIX RISING OF ARIZONA LLC
Active
Organization
PHOENIX RISING OF ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYNN TOWNER (OWNER)
(702) 416-6465
Entity
Organization
Contact information
Practice address
3636 N 3RD AVE, PHOENIX, AZ 85013-3936
(702) 416-6465
Mailing address
3636 N 3RD AVE, PHOENIX, AZ 85013-3936
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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