| Rising Hope Clinical Assistance, Llc | |
|
510 Northgate Park Dr Winston Salem NC 27106 | |
| (336) 276-2076 | |
| (336) 293-8843 |
| Full Name | Rising Hope Clinical Assistance, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 510 Northgate Park Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Jeremy Simpson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3362762076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Hope Clinical Assistance, Llc Po Box 567 Greensboro NC 27402-0567 Ph: (336) 276-2076 | Rising Hope Clinical Assistance, Llc 510 Northgate Park Dr Winston Salem NC 27106 Ph: (336) 276-2076 |
| NPI Number | 1720529357 |
|---|---|
| Provider Enumeration Date | 03/15/2017 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720529357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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