| Arise Community Solutions Inc | |
|
4425 W Olive Ave Ste 301 Glendale AZ 85302-3843 | |
| (623) 755-9690 | |
| (623) 264-3324 |
| Full Name | Arise Community Solutions Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4425 W Olive Ave Ste 301, Glendale, Arizona |
| Authorized Official Name and Position | Lydia Sanabria (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6237559690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arise Community Solutions Inc 4425 W Olive Ave Ste 301 Glendale AZ 85302-3851 Ph: (623) 755-9690 | Arise Community Solutions Inc 4425 W Olive Ave Ste 301 Glendale AZ 85302-3843 Ph: (623) 755-9690 |
| NPI Number | 1801559141 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Medicare PECOS PAC ID | 9335527407 |
|---|---|
| Medicare Enrollment ID | O20220601001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801559141 | NPI | - | NPPES |
| Provider Name | Raul J Rodriguez Sora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811097538 PECOS PAC ID: 2961420088 Enrollment ID: I20051108000186 |
| Provider Name | Peter Teboh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083000327 PECOS PAC ID: 6901119593 Enrollment ID: I20150727000732 |
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