| NPI | 1568206134 |
|---|---|
| Doing Business As | RISE AT MAYBERRY |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MARTIN Compliance Officer 805-813-1659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |