Organization
PHOENIX RISE HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COSTIN L. SANDOI (ADMINISTRATOR)
(424) 335-3815
Entity
Organization
Contact information
Practice address
4045 E BELL RD STE 147, PHOENIX, AZ 85032-2239
(323) 901-6004
Mailing address
4045 E BELL RD STE 147, PHOENIX, AZ 85032-2239
(323) 901-6004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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