Organization · NPI-2

Grand Rising Behavioral Health LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Norwood, MA

NPI number1508692898
StatusActive
Last updated in NPPESSep 18, 2026

Details

NPI
1508692898
Entity type
Organization (NPI-2)
Legal business name
Grand Rising Behavioral Health LLC
Organization subpart
No
Enumeration date
Sep 12, 2024
Certification date
Sep 18, 2026
Last updated
Sep 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder––

Practice location

1 Edgewater Dr Ste 202
Norwood, MA 02062-4673

Phone 857-408-5033

Mailing address

1 Edgewater Dr Ste 202
Norwood, MA 02062-4673

Phone 781-702-8121

Authorized official

Jonathan Foster
Managing Member
7817028128

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