| Rising Phoenix Therapeutic Community & Rescue Center | |
|
444 S Center St Casper WY 82601-2826 | |
| (307) 251-1852 | |
| Not Available |
| Full Name | Rising Phoenix Therapeutic Community & Rescue Center |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 444 S Center St, Casper, Wyoming |
| Authorized Official Name and Position | Crystal D Nelson (FOUNDER/DIRECTOR) |
| Authorized Official Contact | 3072511852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Therapeutic Community & Rescue Center 444 S Center St Casper WY 82601-2826 Ph: (307) 251-1852 | Rising Phoenix Therapeutic Community & Rescue Center 444 S Center St Casper WY 82601-2826 Ph: (307) 251-1852 |
| NPI Number | 1891527057 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Certification Date | 08/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891527057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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