Rise Up LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brunswick, ME. Organization (NPI-2).
NPI number1811404098
StatusActive
Last updated in NPPESJan 9, 2018
Details
- NPI
- 1811404098
- Entity type
- Organization (NPI-2)
- Legal business name
- Rise Up LLC
- Organization subpart
- No
- Enumeration date
- Jan 9, 2018
- Last updated
- Jan 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | CC4601 | ME | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | CC4601 | ME | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | CC4601 | ME |
Practice location
153 Park Row Ste 103Brunswick, ME 04011-2053
Phone 207-504-3587
Mailing address
153 Park Row Ste 103Brunswick, ME 04011-2053
Phone 207-504-3587
Authorized official
Jessica Packard
Owner
2075043587
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