Phoenix Rising Counseling Services, LLC
Community/Behavioral Health in Scranton, PA. Organization (NPI-2).
NPI number1114386166
StatusActive
Last updated in NPPESApr 3, 2017
Details
- NPI
- 1114386166
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Rising Counseling Services, LLC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2016
- Last updated
- Apr 3, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | CW012908 | PA | Yes |
Practice location
1512 E Gibson StScranton, PA 18510-1902
Phone 570-575-3195 · Fax 570-347-6665
Mailing address
1512 E Gibson StScranton, PA 18510-1902
Phone 570-575-3195 · Fax 570-347-6665
Authorized official
Rosemary D. Caolo
Owner
5705753195
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