Organization
PHOENIX RISING BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA M GOULET MHRTC (CEO)
(207) 313-1881
Entity
Organization
Contact information
Practice address
183 STATE ST APT 3, AUGUSTA, ME 04330-6432
(207) 313-1881
(207) 742-4231
Mailing address
183 STATE ST APT 3, AUGUSTA, ME 04330-6432
(207) 313-1881
(207) 742-4231
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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