NPI | 1073106654 |
---|---|
Doing Business As | RISEABOVE BEHAVIORAL HEALTH SERVICES LLC |
Entity Type | Organization |
Authorized Contact | ABITHA PRIYA PERUMAL Np 716-601-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-02-15 |
Last Update Date | 2021-02-15 |