institution
Phoenix Rising Psychiatric, Recovery & Sleep Services
Medical Specialty Clinic/Center in Fayetteville, Georgia
NPI 1437888740

Phoenix Rising Psychiatric, Recovery & Sleep Services is a Medical Specialty Clinic/Center based in Fayetteville, GA and is specialized in Medical Specialty. Phoenix Rising Psychiatric, Recovery & Sleep Services practices in Fayetteville, GA. The NPI Number for Phoenix Rising Psychiatric, Recovery & Sleep Services is 1437888740 and holds a License No. (Georgia).

The current practice location address for Phoenix Rising Psychiatric, Recovery & Sleep Services is 101 Devant St Ste 504, Fayetteville, GA and can be reached out via phone at 770-282-6962 and via fax at 770-282-6983.

Location: 101 Devant St Ste 504, Fayetteville, GA, 30214-2720
institution
Provider Profile Details
NPI Number
1437888740
Provider Name
Phoenix Rising Psychiatric, Recovery & Sleep Services
Credential
Provider Entity Type
Organization
Address
101 Devant St Ste 504, Fayetteville, GA, 30214-2720
Phone Number
770-282-6962
Fax Number
770-282-6983
Provider Enumeration Date
06/10/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000000000000 01 DO NOT HAVE THESE NUMBERS YET
institution
Provider Business Practice Location Address Details
Address
101 Devant St Ste 504
City
State
Zip
30214-2720
Phone Number
770-282-6962
Fax Number
770-282-6983
person
Provider Business Mailing Address Details
Address
101 Devant St Ste 504
City
State
Zip
30214-2720
Phone Number
770-282-6962
Fax Number
770-282-6983
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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