Organization
ASCENDING ROOTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE JOHNSON (CEO)
(480) 779-8016
Entity
Organization
Contact information
Practice address
1839 N 39TH ST, PHOENIX, AZ 85008-3915
(480) 779-8016
(602) 341-6962
Mailing address
1839 N 39TH ST, PHOENIX, AZ 85008-3915
(480) 779-8016
(602) 341-6962
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH4927
AZ
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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