| Rise Above The Disorder | |
|
5150 Candlewood Street 6e Lakewood CA 90712-1925 | |
| (562) 303-3694 | |
| Not Available |
| Full Name | Rise Above The Disorder |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5150 Candlewood Street, Lakewood, California |
| Authorized Official Name and Position | Jason Docton (CEO) |
| Authorized Official Contact | 5627327785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Above The Disorder 5150 Candlewood Street 6e Lakewood CA 90712-1925 Ph: (562) 303-3694 | Rise Above The Disorder 5150 Candlewood Street 6e Lakewood CA 90712-1925 Ph: (562) 303-3694 |
| NPI Number | 1003315839 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003315839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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