PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC NPI 1891737292

NPI Information

  • NPI: 1891737292
  • Provider Name: PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Doing Business As: PHOENIX RISING BHR
  • Address: 624 MARKET AVE N
    CANTON, OH
    ZIP 44702
  • Phone: (330) 493-4553

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NPI Details

PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC is a mental health (including community mental health center) clinic center in Canton, OH. PHOENIX RISING BEHAVIORAL HEALTHCARE AND RECOVERY INC NPI is 1891737292. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoenix Rising Bhr.

The provider's business location address is:

624 MARKET AVE N
CANTON, OH
ZIP 44702-017
Phone: (330) 493-4553
Fax: (330) 493-3762

The provider's authorized official is Lisa K Grubbs .
The authorized official title is Ceo and has the following contact phone number (330) 493-4553.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 4/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2251S00000XCommunity/Behavioral HealthOHIONo
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0850XClinic/CenterAdult Mental HealthOHIONo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12594134MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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