| R.i.s.e Family Services Llc | |
|
9811 Mallard Dr Ste 203 Laurel MD 20708-3199 | |
| (301) 778-8835 | |
| Not Available |
| Full Name | R.i.s.e Family Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9811 Mallard Dr Ste 203, Laurel, Maryland |
| Authorized Official Name and Position | Shonnell Ham (OWNER) |
| Authorized Official Contact | 3017788835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.i.s.e Family Services Llc 9811 Mallard Dr Ste 203 Laurel MD 20708-3199 Ph: (301) 778-8835 | R.i.s.e Family Services Llc 9811 Mallard Dr Ste 203 Laurel MD 20708-3199 Ph: (301) 778-8835 |
| NPI Number | 1003552498 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003552498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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