| Phoenix Rising Centers Llc | |
|
313 Main St Unit G Wakefield RI 02879-7405 | |
| (401) 441-5834 | |
| (401) 210-8248 |
| Full Name | Phoenix Rising Centers Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 313 Main St Unit G, Wakefield, 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 Llc 1 Richmond Sq Ste 350w Providence RI 02906-5165 Ph: (401) 441-5834 | Phoenix Rising Centers Llc 313 Main St Unit G Wakefield RI 02879-7405 Ph: (401) 441-5834 |
| NPI Number | 1376276832 |
|---|---|
| Provider Enumeration Date | 07/02/2022 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376276832 | NPI | - | NPPES |
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