Organization
PHOENIX RISING NOW CORPORATION
Active
Organization
PHOENIX RISING NOW CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA BAKER LMFT (EXECUTIVE DIRECTOR)
(407) 267-0415
Entity
Organization
Contact information
Practice address
1540 INTERNATIONAL PKWY, SUITE 2000, LAKE MARY, FL 32746-4713
(407) 267-0415
Mailing address
2625 TWEED RUN, SANFORD, FL 32771-6499
(407) 267-0415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MT2629
FL
Other
Enumeration date
01/23/2012
Last updated
01/29/2012
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