Healthcare Provider Details

I. General information

NPI: 1992678239
Provider Name (Legal Business Name): RITE OF PASSAGE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

349 MADISON ST
COURTLAND AL
35618-3168
US

IV. Provider business mailing address

2560 BUSINESS PKWY STE A
MINDEN NV
89423-8961
US

V. Phone/Fax

Practice location:
  • Phone: 256-637-9111
  • Fax: 256-637-8911
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MARANDA FIGULI
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 480-987-2080