| The R.i.s.e. Center | |
|
4910 Pinehill Dr Baton Rouge LA 70817-2368 | |
| (225) 206-1072 | |
| Not Available |
| Full Name | The R.i.s.e. Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4910 Pinehill Dr, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Jandel Mary Crutchfield (OWNER, THERAPIST) |
| Authorized Official Contact | 2252061072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The R.i.s.e. Center Po Box 87466 Baton Rouge LA 70879-8466 Ph: (225) 206-1072 | The R.i.s.e. Center 4910 Pinehill Dr Baton Rouge LA 70817-2368 Ph: (225) 206-1072 |
| NPI Number | 1215230115 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215230115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 40254728K (Louisiana) | Primary |
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