| Rising Recovery Plc | |
|
2461 Hoover Ave West Bloomfield MI 48324 | |
| (248) 933-1460 | |
| Not Available |
| Full Name | Rising Recovery Plc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2461 Hoover Ave, West Bloomfield, Michigan |
| Authorized Official Name and Position | Shawn Casey Eaton (OWNER) |
| Authorized Official Contact | 2489331460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Recovery Plc 7650 Cooley Lake Rd Unit 1020 Union Lake MI 48387-7221 Ph: (248) 933-1460 | Rising Recovery Plc 2461 Hoover Ave West Bloomfield MI 48324 Ph: (248) 933-1460 |
| NPI Number | 1619569522 |
|---|---|
| Provider Enumeration Date | 02/11/2021 |
| Last Update Date | 02/11/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619569522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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