Organization
PHOENIX RISING COUNSELING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYLA DIM (DIRECTOR)
(307) 587-6288
Entity
Organization
Contact information
Practice address
1001 14TH ST, CODY, WY 82414-3745
(307) 587-6288
Mailing address
PO BOX 2444, CODY, WY 82414-2444
(307) 587-6288
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PPC-392
WY
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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