NPI 1720736614
R.I.S.E Family Services LLC
Practice location
- Address
- 9811 Mallard Dr STE 203, Laurel, MD 20708-3199
- Phone
- (301) 778-8835
Authorised official
- Name
- Shonnell Ham
- Title
- Ceo
- Phone
- (301) 778-8835
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1720736614
- Entity type
- Organization
- NPI issued
- 10 Mar 2022
- Record last updated
- 10 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.