Organization
RISING PHOENIX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEL DONTE WESTMORELAND (OWNER)
(336) 558-5108
Entity
Organization
Contact information
Practice address
603 MONTROSE DRIVE, GREENSBORO, NC 27410-1289
(336) 855-3744
(336) 855-3744
Mailing address
603 MONTROSE DRIVE, GREENSBORO, NC 27410-1289
(336) 855-3744
(336) 855-3744
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/11/2007
Last updated
04/19/2022
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