Organization
RISING PHOENIX THERAPEUTIC COMMUNITY & RESCUE CENTER
Active
Other names
Rising Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL D NELSON PHD, NCC, LPC, CCTP- (FOUNDER/DIRECTOR)
(307) 251-1852
Entity
Organization
Contact information
Practice address
444 S CENTER ST, CASPER, WY 82601-2826
(307) 251-1852
Mailing address
444 S CENTER ST, CASPER, WY 82601-2826
(307) 251-1852
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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