| Rise, Inc. | |
|
17340 Yolo Ave Esparto CA 95627-2265 | |
| (530) 787-4110 | |
| (530) 787-4104 |
| Full Name | Rise, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17340 Yolo Ave, Esparto, California |
| Authorized Official Name and Position | Laura Guevara (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2096063229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise, Inc. 17340 Yolo Ave. Esparto CA 95627-2137 Ph: (530) 787-4110 | Rise, Inc. 17340 Yolo Ave Esparto CA 95627-2265 Ph: (530) 787-4110 |
| NPI Number | 1558855338 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 08/02/2024 |
| Certification Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558855338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Esparto Childrens Pilot Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16858 Yolo Avenue, Esparto, CA 95627 Phone: 530-687-4110 |