Organization · Type 2 NPI

Rising Star Behavior Health LLC

Psychiatric Residential Treatment Facility · San Tan Valley, AZ

NPI number 1346997392 Active

Practice location

546 E Pasture Canyon Dr
San Tan Valley, AZ 85143-5814

Fax (480) 452-0828

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Psychiatric Residential Treatment Facility Primary	323P00000X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…

NPI record

NPI: 1346997392
Entity type: Organization (Type 2)
Issued: Mar 9, 2022
Last updated: Jun 17, 2022
Status: Active

Other names

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Rising Star Behavior Health LLC · former legal business name
Rising Star Behavior Health LLC · former legal business name

Authorized official

Mr. Simon Addei
Administrator
(602) 814-4693

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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 1346997392

Rising Star Behavior Health LLC's National Provider Identifier is 1346997392, issued on Mar 9, 2022. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Jun 17, 2022.