Organization · Type 2 NPI

Phoenix Risen, LLC

Community/Behavioral Health Agency · Louisville, KY

NPI number 1750117784 Active

Practice location

2112 Ratcliffe Ave
Louisville, KY 40210-2252

Call (804) 651-2688 Map

Mailing address

6709 Rebecca Ln
Louisville, KY 40258-3011

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1750117784

Phoenix Risen, LLC's National Provider Identifier is 1750117784, issued on Sep 9, 2024. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Louisville, KY. The record was last updated on Sep 9, 2024.