R.i.s.e Family Services Llc | |
9811 Mallard Dr Ste 203 Laurel MD 20708-3199 | |
(301) 778-8835 | |
Not Available |
Full Name | R.i.s.e Family Services Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 9811 Mallard Dr Ste 203, Laurel, Maryland |
Authorized Official Name and Position | Shonnell Ham (OWNER) |
Authorized Official Contact | 3017788835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
R.i.s.e Family Services Llc 9811 Mallard Dr Ste 203 Laurel MD 20708-3199 Ph: (301) 778-8835 | R.i.s.e Family Services Llc 9811 Mallard Dr Ste 203 Laurel MD 20708-3199 Ph: (301) 778-8835 |
NPI Number | 1003552498 |
---|---|
Provider Enumeration Date | 05/09/2022 |
Last Update Date | 05/09/2022 |
Certification Date | 02/24/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003552498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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