Phoenix Rising Behavioral Healthcare And Recovery, Inc

LBN: Phoenix Rising Behavioral Healthcare And Recovery, Inc
Phoenix Rising Behavioral Healthcare And Recovery, Inc is an health care organization with primary practice located at 624 Market Ave N , Canton OH 44702-1017. The organization recently has 6 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty. Phoenix Rising Behavioral Healthcare And Recovery, Inc can be contacted via phone (330) 493-4553, or through Grubbs, Lisa via phone (330) 493-4553.

Contact Information

Primary practice address
624 Market Ave N Canton OH 44702-1017
Phone: (330) 493-4553
Fax: (330) 493-3761
Website:
Map and Directions
Authorized official contact:
Name: Grubbs, Lisa
Phone: (330) 493-4553

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1710238613
LBN Legal business name Phoenix Rising Behavioral Healthcare And Recovery, Inc
DBA Doing business as
Authorized official Grubbs, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2012
Last updated Feb 6th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710238613 NPPES
Ohio MEDICAID 2594134

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