| Phoenix Rising Centers | |
|
1 Richmond Sq Ste 333c Providence RI 02906-5139 | |
| (401) 297-0692 | |
| Not Available |
| Full Name | Phoenix Rising Centers |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 Richmond Sq Ste 333c, Providence, Rhode Island |
| Authorized Official Name and Position | Madrone B. Phoenix (OWNER) |
| Authorized Official Contact | 4014415834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Centers Po Box 5 Kingston RI 02881-0005 Ph: (401) 441-5834 | Phoenix Rising Centers 1 Richmond Sq Ste 333c Providence RI 02906-5139 Ph: (401) 297-0692 |
| NPI Number | 1376276832 |
|---|---|
| Provider Enumeration Date | 07/02/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376276832 | NPI | - | NPPES |
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