Organization
PHOENIX RISING TREATMENT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE JONES CADC-II, CCS (COMPLAINCE OFFICER)
(714) 561-8063
Entity
Organization
Contact information
Practice address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 856-7799
Mailing address
392 E 3900 S, SALT LAKE CITY, UT 84107-1615
(801) 856-7799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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