Rise Of Ruston LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Ruston, LA. Organization (NPI-2).
NPI number1619704707
StatusActive
Last updated in NPPESJun 29, 2025
Details
- NPI
- 1619704707
- Entity type
- Organization (NPI-2)
- Legal business name
- Rise Of Ruston LLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2024
- Certification date
- Jun 29, 2025
- Last updated
- Jun 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
512 E Texas AveRuston, LA 71270-4555
Phone 318-331-3977
Mailing address
512 E Texas AveRuston, LA 71270-4555
Phone 318-331-3977
Authorized official
Felicia Douglas
Owner
3182249088
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