| Rising Phoenix Professional Services, Llc | |
|
101-1 N. 4th Street Smithfield NC 27577-3941 | |
| (919) 209-0060 | |
| Not Available |
| Full Name | Rising Phoenix Professional Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 101-1 N. 4th Street, Smithfield, North Carolina |
| Authorized Official Name and Position | Kenya Young (PARTNER) |
| Authorized Official Contact | 9192090060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Phoenix Professional Services, Llc Po Box 61232 Raleigh NC 27661-1232 Ph: (919) 209-0060 | Rising Phoenix Professional Services, Llc 101-1 N. 4th Street Smithfield NC 27577-3941 Ph: (919) 209-0060 |
| NPI Number | 1336465897 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336465897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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