| NPI | 1811512262 |
|---|---|
| Doing Business As | UPRISING ADDICTION CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN HOLLINS CEO 318-683-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-06-09 |