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Organization

PHOENIX RISING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN EVANS (HOUSE DIRECTOR)
(801) 425-2921
Entity
Organization

Contact information

Practice address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 425-2921
Mailing address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 425-2921

Taxonomy

Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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