Organization · Type 2 NPI

Rising Youth LLC

Mental Illness Community Based Residential Treatment Facility · Mesa, AZ

NPI number 1164069167 Active

Practice location

2704 S Sawyer Cir
Mesa, AZ 85209-6256

Call (480) 232-8600 Map

Fax (480) 444-1452

Mailing address

501 S 48th St Ste 110
Tempe, AZ 85281-2313

Other practice locations

5948 E Fountain Cir, Mesa, AZ 85205-5513 · (602) 790-6348

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Other mental illness community based residential treatment facility providers in Mesa

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NPI record

NPI: 1164069167
Entity type: Organization (Type 2)
Issued: Dec 9, 2019
Last updated: May 5, 2020
Status: Active
Subpart: Yes of Rising Youth LLC

Other names

<unavail>
Fountain Home · doing business as
Sawyer House · doing business as

Authorized official

Kayla Christine Sol
Administrator
(480) 232-8600

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164069167

Rising Youth LLC's National Provider Identifier is 1164069167, issued on Dec 9, 2019. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Mesa, AZ. The record was last updated on May 5, 2020.