Organization
PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC
Active
Other names
Phoenix Rising BHR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA K GRUBBS LPCC'S (CEO)
(330) 493-4553
Entity
Organization
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3762
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
OH
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OH
261QM0850X
Adult Mental Health Clinic/Center
—
OH
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594134
—
OH
Enumeration date
06/11/2006
Last updated
04/09/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us