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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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