| Rising Youth Llc | |
|
302 California St York SC 29745-1430 | |
| (704) 574-9635 | |
| Not Available |
| Full Name | Rising Youth Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 California St, York, South Carolina |
| Authorized Official Name and Position | Romea Nicole Smith (OWNER) |
| Authorized Official Contact | 7047473950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Youth Llc 302 California St York SC 29745-1430 Ph: (704) 574-9635 | Rising Youth Llc 302 California St York SC 29745-1430 Ph: (704) 574-9635 |
| NPI Number | 1003472754 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003472754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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