Organization
RISING YOUTH LLC
Active
Other names
Fountain Home
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA C SOL (CEO)
(480) 232-8600
Entity
Organization
Contact information
Practice address
5948 E FOUNTAIN CIR, MESA, AZ 85205-5513
(480) 232-8600
(480) 444-1452
Mailing address
501 S 48TH ST STE 110, TEMPE, AZ 85281-2313
(480) 232-8600
(480) 444-1452
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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