Rising Youth LLC
Community Based Residential Treatment Facility, Mental Illness in Mesa, AZ. Organization (NPI-2).
NPI number1164069167
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1164069167
- Entity type
- Organization (NPI-2)
- Legal business name
- Rising Youth LLC
- Organization subpart
- Yes
- Enumeration date
- Dec 9, 2019
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Other names
- Fountain Home (Doing Business As)
- Sawyer House (Doing Business As)
Practice location
2704 S Sawyer CirMesa, AZ 85209-6256
Phone 480-232-8600 · Fax 480-444-1452
Mailing address
501 S 48th St Ste 110Tempe, AZ 85281-2313
Phone 480-232-8600 · Fax 480-444-1452
Other practice locations
5948 E Fountain Cir
Mesa, AZ 85205-5513
Mesa, AZ 85205-5513
Phone 602-790-6348 · Fax 480-444-1452
Authorized official
Kayla Christine Sol
Administrator
4802328600
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