Provider Demographics
NPI:1043087414
Name:RITE OF PASSAGE, INC.
Entity Type:Organization
Organization Name:RITE OF PASSAGE, INC.
Other - Org Name:HOPE FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGULI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-987-2080
Mailing Address - Street 1:2560 BUSINESS PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-8961
Mailing Address - Country:US
Mailing Address - Phone:480-897-2040
Mailing Address - Fax:
Practice Address - Street 1:46821 JANE LN
Practice Address - Street 2:
Practice Address - City:PAISLEY
Practice Address - State:FL
Practice Address - Zip Code:32767-9015
Practice Address - Country:US
Practice Address - Phone:352-717-3680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RITE OF PASSAGE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-06
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health